Predictors of mortality in patients submitted to nephrectomy for non-metastatic renal cell carcinoma at a referral center in Northeastern Brazil

Rev Col Bras Cir. 2017 May-Jun;44(3):257-262. doi: 10.1590/0100-69912017003006.
[Article in Portuguese, English]

Abstract

Objective:: to identify predictors of mortality in patients submitted to nephrectomy for non-metastatic renal cancer.

Methods:: we conducted a retrospective cohort study based on the records of patients with renal cancer submitted to radical or partial nephrectomy at the Ceará Cancer Institute.

Results:: we studied 117 patients, with mean and median age of 59.14 and 59 years, respectively. The male gender was slightly predominant. The right kidney was most frequently affected (64%). The most common histopathological diagnosis was clear-cell carcinoma (77%). Stage pT1 and Fuhrman grade II were predominant. The only predictive variables of overall survival were pathological stage (pT) and lymph node involvement.

Conclusion:: pathological stage (pT) and lymph node involvement are important prognostic factors in patients undergoing nephrectomy for non-metastatic renal cancer.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Brazil
  • Carcinoma, Renal Cell / mortality*
  • Carcinoma, Renal Cell / surgery*
  • Cohort Studies
  • Female
  • Humans
  • Kidney Neoplasms / mortality*
  • Kidney Neoplasms / surgery*
  • Male
  • Middle Aged
  • Nephrectomy*
  • Prognosis
  • Referral and Consultation
  • Retrospective Studies
  • Survival Rate
  • Young Adult