SURGICAL RESECTION FOR MANAGEMENT OF RENAL-CANCER WITH HEPATIC INVOLVEMENT

被引:21
作者
BENNETT, BC [1 ]
SELBY, R [1 ]
BAHNSON, RR [1 ]
机构
[1] UNIV PITTSBURGH,MED CTR,DEPT SURG,PITTSBURGH,PA 15260
关键词
KIDNEY NEOPLASMS; LIVER NEOPLASMS; CARCINOMA; RENAL CELL; HEPATECTOMY; NEPHRECTOMY;
D O I
10.1016/S0022-5347(01)66948-9
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: More than 900 patients who underwent hepatic resections were reviewed to identify those whose liver resections were due to involvement by renal cell carcinoma. Materials and Methods: Three patients with direct hepatic extension of the renal cell cancer underwent radical nephrectomy with en bloc partial hepatectomy, while 1 with a metachronous recurrence 3 years after nephrectomy underwent right triple lobe hepatectomy. There were no postoperative complications. Results: Of the en bloc resections 2 showed sarcomatoid features on histopathological examination. These patients experienced rapid disease progression and died. The remaining 2 patients with typical clear cell. carcinoma have no evidence of disease. Conclusions: Experience with these 4 patients has demonstrated that hepatic resection is technically feasible and associated with acceptable morbidity rates. Surgical management should be considered in patients with the uncommon presentation of renal cell carcinoma and localized hepatic involvement.
引用
收藏
页码:972 / 974
页数:3
相关论文
共 28 条
  • [1] RENAL-CARCINOMA - COMPUTER-ANALYSIS OF 96 PATIENTS TREATED BY NEPHRECTOMY
    BOXER, RJ
    WAISMAN, J
    LIEBER, MM
    MAMPASO, FM
    SKINNER, DG
    [J]. JOURNAL OF UROLOGY, 1979, 122 (05) : 598 - 601
  • [2] DeKernion J.B., 1986, CAMPBELLS UROLOGY, V2, P1294
  • [3] THE TREATMENT OF RENAL-CELL CARCINOMA WITH HUMAN-LEUKOCYTE ALPHA-INTERFERON
    DEKERNION, JB
    SARNA, G
    FIGLIN, R
    LINDNER, A
    SMITH, RB
    [J]. JOURNAL OF UROLOGY, 1983, 130 (06) : 1063 - 1066
  • [4] NATURAL-HISTORY OF METASTATIC RENAL CELL-CARCINOMA - COMPUTER-ANALYSIS
    DEKERNION, JB
    RAMMING, KP
    SMITH, RB
    [J]. JOURNAL OF UROLOGY, 1978, 120 (02) : 148 - 152
  • [5] FOSTER JH, 1990, HEPATO-GASTROENTEROL, V37, P182
  • [6] GUILIANI L, 1990, J UROLOGY, V143, P468
  • [7] HOLLAND JM, 1973, CANCER, V32, P1030, DOI 10.1002/1097-0142(197311)32:5<1030::AID-CNCR2820320502>3.0.CO
  • [8] 2-E
  • [9] DETECTION AND STAGING OF RENAL NEOPLASMS - A REASSESSMENT OF MR IMAGING
    HRICAK, H
    THOENI, RF
    CARROLL, PR
    DEMAS, BE
    MAROTTI, M
    TANAGHO, EA
    [J]. RADIOLOGY, 1988, 166 (03) : 643 - 649
  • [10] EXPERIENCE WITH 150 LIVER RESECTIONS
    IWATSUKI, S
    SHAW, BW
    STARZL, TE
    [J]. ANNALS OF SURGERY, 1983, 197 (03) : 247 - 253