Video Lectures
State-of-the-industry video lectures by leading urology experts
Latest Videos

ORLANDO, FL USA (UroToday.com) - Stage T4 RCC is defined as extension of tumor beyond Gerota’s fascia and/or invading into the adrenal gland. Patients with higher stage and advanced disease tend to have poor outcomes. Dae Y. Kim stated that patient counseling and surgical intervention is essential for patients with higher-risk disease. Therefore, their objective in this study was to determine variables that can predict survival in patients with T4 RCC.

auaThe authors identified 67 patients with T4 disease. Both clinical and pathological variables were assessed in each patient, and they analyzed survival using Kaplan-Meier method.

They found that median survival was 18 months longer for patients who had lymph node dissection. After analysis, they found that predictors of survival were M stage at time of surgery, lymph node status and dissection, and histology of the tumor including sarcomatoid features in the tumor.

The authors concluded that median survival increases tremendously with lymph node dissection. Furthermore, they found that there are multiple variables that can potentially predict outcomes of patients with T4 disease. These findings are significant, and the authors concluded that having knowledge of predictors for each particular patient may assist in the informed decision-making process with regards to disease management. Surgeon preference may be related to the decision of lymph node dissection. Thus, this may introduce a bias with patient selection.

Presented by Dae Y. Kim at the American Urological Association (AUA) Annual Meeting- May 16 - 21, 2014 - Orlando, Florida USA

Houston, TX USA

Written by Garen Abedi, MD, University of California (Irvine), and medical writer for UroToday.com

 

Calendar
Upcoming urology industry events
August 1-5, 2018 / Sheraton Philadelphia Society Hill Hotel
SUFU Research Foundation Resident Preceptorship 2018
August 3-4, 2018 / Hyatt Regency Washington on Capitol Hill
Best of ASCO 2018 - Washington, DC
August 10-11, 2018 / The Palmer House Hilton, Chicago, IL
Best of ASCO 2018 - Chicago, IL
August 28-31, 2018 / ICS 2018
International Continence Society 2018
Journals
Print publications focusing on urological cancer treatments through original commentary & articles
Everyday Urology Volume 2 Issue 4

Everyday Urology™ - Oncology Insights

From the Editor

PCAN cover

Prostate Cancer and Prostatic Diseases

From the Editor