Chest X-ray in the follow-up of renal cell carcinoma

被引:14
作者
Doornweerd, B. H. J. [1 ]
de Jong, I. J. [1 ]
Bergman, L. M. [2 ]
Ananias, H. J. K. [1 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Urol, NL-9713 AV Groningen, Netherlands
[2] Univ Groningen, Univ Med Ctr Groningen, Dept Radiol, NL-9713 AV Groningen, Netherlands
关键词
Carcinoma; Renal cell; Follow-up studies; Radiography; Thoracic; CLINICAL-PRACTICE GUIDELINES; PROGNOSTIC-FACTORS; RADICAL NEPHRECTOMY; PULMONARY RESECTION; KIDNEY CANCER; NOMOGRAM; SURVEILLANCE; SURVIVAL; ONCOLOGY; PROTOCOL;
D O I
10.1007/s00345-013-1176-2
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
To evaluate the value of chest X-ray in the follow-up of surgically treated T1-3N0M0 renal cell carcinoma. We performed retrospective analysis of patients that underwent surgical treatment of a localized renal cell carcinoma (T1-3N0M0) between January 1993 and July 2010. Data on frequency and results of performed chest X-rays were collected from patients' records. In 17.5 years, 249 patients with a T1-3N0M0 renal cell carcinoma underwent a radical or partial nephrectomy. In 221 patients, 823 chest X-rays were performed during a median follow-up of 3.3 years (range 0.5-17 years). In 19 patients, a pulmonary recurrence occurred, of which 10 were not detected by the regular follow-up. Of the 9 patients that were diagnosed with a pulmonary recurrence with a chest X-ray during follow-up, 7 were asymptomatic at the time of diagnosis, and the chest X-ray has led to the detection; 0.85 % of the performed chest X-rays (7/823) have led to the detection of asymptomatic lung metastases. Due to the low yield of chest X-ray for detection of asymptomatic pulmonary recurrences, it has very low clinical value in the follow-up after nephrectomy for T1-3N0M0 renal cell carcinoma.
引用
收藏
页码:1015 / 1019
页数:5
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