TY - JOUR
T1 - Stransitional cell carcinoma of the renal pelvis
T2 - Radical or conservative surgical treatment?
AU - Johnson, Douglas E.
AU - Deberardinis, Michael
AU - Ayala, Alberto G.
PY - 1974/10
Y1 - 1974/10
N2 - In the light of the recent controversy over conservative surgical management, the clinical and histologic features in 49 cases of transitional cell carcinoma of the renal pelvis were reviewed. The infrequent occurrence of low grade, noninvasive tumors (8%), the low incidence of bilateral (2%) or asynchronous (8%) development of upper urinary tract lesions, coupled with the high incidence (33%) of ureteral stump recurrences following simple nephrectomy, and the frequent occurrence of invasive lesions (58%), strongly support the traditional doctrine of nephrectomy with total ureterectomy as the treatment of choice for renal pelvic tumors. Local excision is best reserved for rare cases of bilateral disease or when preservation of renal function is mandatory for sustaining life.
AB - In the light of the recent controversy over conservative surgical management, the clinical and histologic features in 49 cases of transitional cell carcinoma of the renal pelvis were reviewed. The infrequent occurrence of low grade, noninvasive tumors (8%), the low incidence of bilateral (2%) or asynchronous (8%) development of upper urinary tract lesions, coupled with the high incidence (33%) of ureteral stump recurrences following simple nephrectomy, and the frequent occurrence of invasive lesions (58%), strongly support the traditional doctrine of nephrectomy with total ureterectomy as the treatment of choice for renal pelvic tumors. Local excision is best reserved for rare cases of bilateral disease or when preservation of renal function is mandatory for sustaining life.
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U2 - 10.1097/00007611-197410000-00012
DO - 10.1097/00007611-197410000-00012
M3 - Article
C2 - 4416701
AN - SCOPUS:0016119629
SN - 0038-4348
VL - 67
SP - 1183
EP - 1186
JO - Southern Medical Journal
JF - Southern Medical Journal
IS - 10
ER -