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- W2997363048 abstract "Background: to analyze the structural properties of metastatic (MTS) renal cell carcinoma (RCC) and the results of treatment. Methods: 142 patients with RCC were treated from April 2011 to present. 14 (9,9%) patients with MTS RCC lesions of various organs diagnosed during this time, 1 patient was diagnosed with MTS 2 times (metachronous). All lesions were as RCC MTS. The analyzed parameters: 1.target organs; 2. synchronous/metachronous metastases; 3.timing of metastasis; 4.treatment strategy; 5. generalization. Results: Target organs of RCC MTS (n = 15): pancreas – 8 (53.2%) (single - 6, multiple - 2); liver – 3 (20%); spleen – 1 (6.7%); liver + spleen + lungs – 1 (6.7%); adrenal gland – 1 (6.7%); m. gluteus maximus – 1 (6.71%) case. Simultaneous detection of the primary tumor and MTS diagnosed in 5 cases; metachronous - in 10. In 1 case diagnosed failure of both kidneys with MTS in both adrenal glands. Timing of metastasis (n = 10), from 8 months to 16 years (excluded patients with simultaneous detection of primary tumor and MTS), an average 5.3 years. Treatment strategy: surgery (n = 11) (one-stage - 10, two-stage - 1): nephrectomy+resection - 2; resection surgery - 8; pancreatectomy - 1; cryoablation - 1; RFA+chemotherapy - 1; chemotherapy - 2 (significant spread of the process (liver + spleen + lungs and m. gluteus maximus). Further metastasis after surgical treatment isn’t currently registered. In case of spread of the process (liver + spleen + lungs) - death. Conclusion: RCC MTS should be suspected even in the remote period after surgery." @default.
- W2997363048 created "2020-01-10" @default.
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- W2997363048 date "2019-01-01" @default.
- W2997363048 modified "2023-10-14" @default.
- W2997363048 title "Metastasises of kidney clear-cell carcinoma: structural and treatment results" @default.
- W2997363048 doi "https://doi.org/10.1016/j.hpb.2019.10.045" @default.
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