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001-es BibID:	BIBFORM073103
Első szerző:	Berczi Ákos
Cím:	Surgical Management and Outcome of Renal Cell Carcinoma with Inferior Vena Cava Tumor Thrombus / Akos Berczi, Tibor Flasko, Tamas Szerafin, Ben Thomas, Zsolt Bacso, Csaba Berczi
Dátum:	2017
ISSN:	0042-1138
Megjegyzések:	Introduction: The authors of this paper assessed the surgicalmanagement and outcome of renal cancers when tumorthrombus extended into the inferior vena cava (IVC).Methods: From 2000 to 2015, 46 radical nephrectomies wereperformed on patients with tumor thrombus in the IVC. Themean age of the patients was 60 ? 11 years. Radical nephrectomyand thrombectomies were performed in a single session.There were 18 level-IV, 23 level-III, and 5 level-II tumorthrombi. The operations were performed using cardiopulmonarybypass in 14 patients, while deep hypothermic cardiacarrest was carried out in 4 cases. Results: The mean sizeof the tumors was 9.4 +- 3.5 cm. Histology showed the tumorstages to be pT3b in 21cases, pT3c in 22, and pT4 in 3 patients.The mean follow-up period of the patients was 3.6 +- 3.0 years.During the follow-up period, local recurrence was observedin 7 patients, while distant metastases occurred in 8 cases.The median time to progression was 37 +- 27 months. The5-year overall survival was 43.7%. Conclusions: Radical nephrectomyand thrombectomy provided reasonable long-term survival for patients with renal cancer and IVC thrombus.However, tumor progression was detected in 41.6%. Thepresence of tumor thrombus had a negative effect on tumorprogression and survival.
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Renal cancer Tumor thrombus Inferior vena cava Thrombus level
Megjelenés:	Urologia Internationalis. - 99 : 3 (2017), p. 267-271. -
További szerzők:	Flaskó Tibor (1960-) (urológus) Szerafin Tamás (1960-) (szívsebész, mellkassebész) Thomas, Ben Bacsó Zsolt (1963-) (biofizikus) Berczi Csaba (1962-) (urológus, sebész, onkológus)
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