کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3934885 1253393 2007 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Prognostic Factors and Staging Systems for Renal Cell Carcinoma
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Prognostic Factors and Staging Systems for Renal Cell Carcinoma
چکیده انگلیسی

ObjectivesPrimary tumour local extension, lymph-node status, and the presence of metastases have always been considered the most important prognostic factors in renal cell carcinoma (RCC). In recent years, many other clinical, pathological, and molecular factors able to independently predict survival in RCC have been proposed and discussed. The aim of this unsystematic literature review is to describe the most important advances in RCC prognostication.ResultsThe review provides updated information regarding the most important clinical (performance status, localized or systemic symptoms), pathological (Fuhrman nuclear grade, histological subtypes, sarcomatoid features, tumour necrosis), and molecular (molecules involved in the hypoxia-inducible pathway, proliferation, cell cycle regulation, or cell adhesion) prognostic factors. It also highlights the issues related to RCC staging systems, such as the debate about the ideal cut-off to stratify patients with localized disease into two categories with different survival as well as the different prognostic impact of perinephric fat invasion, ipsilateral adrenal gland involvement, venous axis neoplastic thrombosis, and the possible synergistic role of their association in locally advanced disease.ConclusionsThe ongoing development of integrated models combining different features improves the accuracy of survival prediction, thus allowing more detailed patient information, correct follow-up planning, and adequate recruitment and interpretation of clinical trials.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Urology Supplements - Volume 6, Issue 10, May 2007, Pages 623–629
نویسندگان
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