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61
MD : Medical Data : medicinska revija = medical review / glavni i odgovorni urednik Dušan Lalošević. - Vol. 1, no. 1 (2009)- . - Zemun : Udruženje za kulturu povezivanja Most Art Jugoslavija ; Novi Sad : Pasterovo društvo, 2009- (Beograd : Scripta Internacional). - 30 cm

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ISSN 1821-1585 = MD. Medical Data
COBISS.SR-ID 158558988


PARTIAL AND RADICAL NEPHRECTOMY IN PATIENTS WITH RENAL CELL CARCINOMA

PARCIJALNA I RADIKALNA NEFREKTOMIJA U BOLESNIKA SA KARCINOMOM BUBREGA

Authors

 

Predrag Marić1, Branko Košević1, Dušica Stamenković2
1 Department of urology, Military Medical Academy, Belgrade, Serbia

2 Department of anesthesiology and intensive care, Military Medical Academy, Belgrade, Serbia

 

• The paper was received on 28.11.2015. / Accepted on 01.12.2015.

 

Abstract

 

Renal cell carcinoma is one of the more frequently represented malignancies. It is the third most frequent urological cancer with participation of 2-3% of all adult malignancies. In addition to hereditary diseases its appearance is often associated with smoking. Lately clinical presentation is of little importance for its diagnosis which is usually accidental during routine ultrasound examinations. The major role in confirming the diagnosis, making treatment decisions or the type of surgical techniques has the multi slice CT scan. In advanced renal carcinomas the patient prognosis without treatment is poor. Considering treatment modalities, surgery is the most effective method of treatment. Depending on the size and location of the tumor, partial or radical nephrectomy is performed. For decades, radical nephrectomy presented the standard surgical treatment option  for treatment of localized renal carcinoma. However in the last decade for treatment of localized renal cell carcinoma, partial nephrectomy is more practiced, as well as laparoscopic and minimal invasive surgical techniques which offer the same oncological results as radical nephrectomy but with decreased morbidity. Approximately 20-30% of patients present with metastasis at the time the diagnosis of renal carcinoma is first made. In the remaining two thirds, 20-30 % develop metastasis after surgical treatment. Metastasis are the main cause of death in these patients. Of all diagnosed patients with renal carcinoma 30-40% die of this illness.

 

 

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PDF Marić P. et al. • MD-Medical Data 2015;7(4): 291-294

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