Tumour characteristics and surgical treatment of renal cell carcinoma in Sweden 2005–2010: a population-based study from the National Swedish Kidney Cancer Register

医学 肾切除术 肾细胞癌 肾癌 人口 冷冻疗法 癌症 外科 泌尿科 内科学 环境卫生
作者
Andreas Thorstenson,Martin Bergman,Ann-Helén Scherman-Plogell,Soheila Hosseinnia,Börje Ljungberg,Jan Adolfsson,Sven Lundstam
出处
期刊:Scandinavian journal of urology [Informa]
卷期号:48 (3): 231-238 被引量:99
标识
DOI:10.3109/21681805.2013.864698
摘要

Objective. Tumour characteristics, preoperative work-up and surgical treatment in patients diagnosed with renal cell carcinoma (RCC) between 2005 and 2010, and changes over time were studied in a national population-based cohort. Material and methods. The National Swedish Kidney Cancer Register (NSKCR) contains information on histopathology, Fuhrman grade and clinical stage at presentation, and on the preoperative work-up and surgical treatment of patients with RCC. Between 2005 and 2010, 5553 RCC patients were registered in the NSKCR, 99% of those registered in the National Cancer Registry. Results. During the study period the mean tumour size decreased from 70 to 64 mm (p = 0.024) and the frequency of metastatic RCC decreased from 22% to 15% (p < 0.001). The use of preoperative chest computed tomography increased from 59% to 84%. In total, 4229 (76%) patients were treated with curative intent, 3453 (82%) underwent radical nephrectomy, 606 (14%) partial nephrectomy (PN) and 170 (4%) cryotherapy or radiofrequency ablation. In tumours up to 4 cm, PN was performed in 33% of the surgically treated patients. PN irrespective of size increased from 8% to 20% and laparoscopic nephrectomy increased from 6% to 17% during the period. In patients with metastatic RCC, 55% underwent cytoreductive nephrectomy. Conclusions. The NSKCR explores population-based data on the clinical handling of patients with RCC. This study, between 2005 and 2010, shows significant decrease in tumour size and metastatic RCC at presentation, a more complete preoperative work-up, and significantly increased use of PN and laparoscopic nephrectomy in Sweden.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
强健的妙菱完成签到,获得积分10
刚刚
暴躁的信封完成签到,获得积分10
2秒前
小二郎应助科研通管家采纳,获得10
3秒前
monere应助科研通管家采纳,获得10
3秒前
星辰大海应助科研通管家采纳,获得10
3秒前
科研通AI2S应助科研通管家采纳,获得10
3秒前
Orange应助科研通管家采纳,获得10
3秒前
研友_VZG7GZ应助科研通管家采纳,获得10
3秒前
tuanheqi应助科研通管家采纳,获得50
3秒前
科研通AI2S应助科研通管家采纳,获得10
3秒前
酷波er应助科研通管家采纳,获得10
3秒前
SciGPT应助科研通管家采纳,获得10
3秒前
FashionBoy应助科研通管家采纳,获得10
3秒前
3秒前
善学以致用应助聆听采纳,获得10
5秒前
Hello应助鲜于夜白采纳,获得10
8秒前
9秒前
10秒前
11秒前
爱听歌雪旋完成签到 ,获得积分10
14秒前
Orange应助大壮采纳,获得10
14秒前
顺心寻云发布了新的文献求助30
14秒前
塔塔饼完成签到,获得积分10
15秒前
neilphilosci完成签到 ,获得积分10
16秒前
自由灵枫发布了新的文献求助10
20秒前
lfg发布了新的文献求助10
21秒前
毒蝎King完成签到,获得积分10
22秒前
Jiuuu完成签到,获得积分10
23秒前
科研通AI2S应助自由灵枫采纳,获得10
27秒前
读心理学导致的完成签到,获得积分10
34秒前
尼尼应助锦鲤玉采纳,获得30
34秒前
35秒前
自由灵枫完成签到,获得积分10
39秒前
阔达的凡发布了新的文献求助10
39秒前
老张完成签到 ,获得积分10
42秒前
疯狂的冬瓜完成签到,获得积分10
43秒前
haihai完成签到,获得积分10
44秒前
hcq完成签到,获得积分10
44秒前
Eric完成签到 ,获得积分10
45秒前
45秒前
高分求助中
The late Devonian Standard Conodont Zonation 2000
Nickel superalloy market size, share, growth, trends, and forecast 2023-2030 2000
The Lali Section: An Excellent Reference Section for Upper - Devonian in South China 1500
Very-high-order BVD Schemes Using β-variable THINC Method 870
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 800
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
Fundamentals of Dispersed Multiphase Flows 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3254080
求助须知:如何正确求助?哪些是违规求助? 2896409
关于积分的说明 8292562
捐赠科研通 2565288
什么是DOI,文献DOI怎么找? 1392945
科研通“疑难数据库(出版商)”最低求助积分说明 652418
邀请新用户注册赠送积分活动 629856