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2018, Number 1

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Rev Cub Med Mil 2018; 47 (1)

Initial tumor stage influence on survival of patients with renal adenocarcinoma

Darias MJL, Rodríguez CTL
Full text How to cite this article

Language: Spanish
References: 17
Page: 33-42
PDF size: 291.34 Kb.


Key words:

kidney, malignant renal tumor, ultrasound, survival.

ABSTRACT

Introduction: the renal adenocarcinoma represents until 80% of the solid tumors of this organ, besides being that of worse prognosis.
Objective: to analyze the influence of the initial tumoral stage in the survival of patient with renal adenocarcinoma.
Methods: A descriptive was carried in to sample of 69 patients with diagnosis of renal adenocarcinoma, assisted in the Central Military Hospital Dr. "Luis Díaz Soto" from January of 2005 to December of 2014. The studied variables were: age, sex, signs and symptoms, imaginologic exams used, tumoral stage, therapeutic modalities employed, complications and the survival later to the treatment.
Results: the group of 60-69 year-old ages prevailed with 46 patients (66.7 %) and of the masculine sex with 42 for 61 %. The incidental diagnosis prevailed in 52 patients (75.4 %). The ultrasound was used in the entirety of the cases and it was positive in 98.6 %. Prevailed the lesions in the I stage in 32 patients (4.3 %). The therapeutic modality more employed was the surgical treatment in 65 patients (94.2 %), being the total nephrectomy for lumbar via were practiced in 44 patients (63.8 %). The survival to the 5 years was of the one 93.7 %.
Conclusions: The diagnosis of the renal adenocarcinoma, in initial stages, facilitates a better prognosis and a bigger survival of the patients. Direct relationship exists among the prognostic factors, clinical and tumoral, with the evolution and the mortality for renal adenocarcinoma.


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Rev Cub Med Mil . 2018;47