Radiographic vs surgical size of renal tumours after partial nephrectomy
Objective To compare the radiographic with the surgical size of renal tumours selected for partial nephrectomy. Patients and methods In 50 patients undergoing elective partial nephrectomy for renal carcinoma (31 men and 19 women, preoperative tumour size 1.5–5.2 cm) the maximum size of the renal tum...
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| description | Objective To compare the radiographic with the surgical size of renal tumours selected for partial nephrectomy.
Patients and methods In 50 patients undergoing elective partial nephrectomy for renal carcinoma (31 men and 19 women, preoperative tumour size 1.5–5.2 cm) the maximum size of the renal tumour, as assessed from computed tomography (CT) before surgery, was compared with the tumour size at surgery. All patients had their renal artery temporarily occluded before surgery to shrink the kidney.
Results After partial nephrectomy, the renal tumours were a mean of 0.63 cm smaller than the estimate from CT; tumours of 3.5 cm on CT were particularly reduced.
Conclusion Incidentally discovered tumours on CT that are |
| doi_str_mv | 10.1046/j.1464-410x.2000.00357.x |
| format | Article |
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Patients and methods In 50 patients undergoing elective partial nephrectomy for renal carcinoma (31 men and 19 women, preoperative tumour size 1.5–5.2 cm) the maximum size of the renal tumour, as assessed from computed tomography (CT) before surgery, was compared with the tumour size at surgery. All patients had their renal artery temporarily occluded before surgery to shrink the kidney.
Results After partial nephrectomy, the renal tumours were a mean of 0.63 cm smaller than the estimate from CT; tumours of 3.5 cm on CT were particularly reduced.
Conclusion Incidentally discovered tumours on CT that are < 3.5 cm and favourably located are often selected for partial nephrectomy. If temporary vascular occlusion and surface hypothermia of the kidney causes shrinkage of most tumours of 3.5 cm, then surgeons might attempt partial nephrectomy in borderline cases, with a better chance of complete resection.</description><identifier>ISSN: 1464-4096</identifier><identifier>EISSN: 1464-410X</identifier><identifier>DOI: 10.1046/j.1464-410x.2000.00357.x</identifier><identifier>PMID: 10619938</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Biological and medical sciences ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Kidney Neoplasms - diagnostic imaging ; Kidney Neoplasms - pathology ; Kidney Neoplasms - surgery ; Male ; Medical sciences ; Nephrectomy - methods ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; radiography ; Renal Artery Obstruction - pathology ; renal artery occlusion ; Renal tumour ; size ; surgical ; Tomography, X-Ray Computed - methods ; Urinary system</subject><ispartof>BJU international, 2000-01, Vol.85 (1), p.19-21</ispartof><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3937-7daa14b395511cc263a3c049768f1ae6976e04a4100e523e14bf392586fae0d03</citedby><cites>FETCH-LOGICAL-c3937-7daa14b395511cc263a3c049768f1ae6976e04a4100e523e14bf392586fae0d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1464-410x.2000.00357.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1464-410x.2000.00357.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,4010,27900,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1372573$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10619938$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Herr, H.W.</creatorcontrib><title>Radiographic vs surgical size of renal tumours after partial nephrectomy</title><title>BJU international</title><addtitle>BJU Int</addtitle><description>Objective To compare the radiographic with the surgical size of renal tumours selected for partial nephrectomy.
Patients and methods In 50 patients undergoing elective partial nephrectomy for renal carcinoma (31 men and 19 women, preoperative tumour size 1.5–5.2 cm) the maximum size of the renal tumour, as assessed from computed tomography (CT) before surgery, was compared with the tumour size at surgery. All patients had their renal artery temporarily occluded before surgery to shrink the kidney.
Results After partial nephrectomy, the renal tumours were a mean of 0.63 cm smaller than the estimate from CT; tumours of 3.5 cm on CT were particularly reduced.
Conclusion Incidentally discovered tumours on CT that are < 3.5 cm and favourably located are often selected for partial nephrectomy. If temporary vascular occlusion and surface hypothermia of the kidney causes shrinkage of most tumours of 3.5 cm, then surgeons might attempt partial nephrectomy in borderline cases, with a better chance of complete resection.</description><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Kidney Neoplasms - diagnostic imaging</subject><subject>Kidney Neoplasms - pathology</subject><subject>Kidney Neoplasms - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrectomy - methods</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>radiography</subject><subject>Renal Artery Obstruction - pathology</subject><subject>renal artery occlusion</subject><subject>Renal tumour</subject><subject>size</subject><subject>surgical</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Urinary system</subject><issn>1464-4096</issn><issn>1464-410X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEFLwzAUx4Mobk6_gvQg3lpfmjZtwYsOdcpAEAfeQpa9bhntWpNWNz-9qdvQo6f88_J7ecmPEI9CQCHiV8uARjzyIwrrIASAAIDFSbA-IP39wdvhPkPGe-TE2iWAK_D4mPQocJplLO2T0Yuc6WpuZL3Qyvuwnm3NXCtZeFZ_oVflnsGV2zVtWbXGejJv0Hi1NI121RXWC4OqqcrNKTnKZWHxbLcOyOT-7nU48sfPD4_Dm7GvWMYSP5lJSaMpy-KYUqVCziRTEGUJT3MqkbuAEEn3AcA4ZOjYnGVhnPJcIsyADcjl9t7aVO8t2kaU2iosCrnCqrUigTSME9aB6RZUprLWYC5qo0tpNoKC6CyKpegEic6i6CyKH4ti7VrPdzPaaYmzP41bbQ642AHSOle5kSul7S_Hku4NDrveYp-6wM2_54vbp4kL7BvYXI1c</recordid><startdate>200001</startdate><enddate>200001</enddate><creator>Herr, H.W.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200001</creationdate><title>Radiographic vs surgical size of renal tumours after partial nephrectomy</title><author>Herr, H.W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3937-7daa14b395511cc263a3c049768f1ae6976e04a4100e523e14bf392586fae0d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Kidney Neoplasms - diagnostic imaging</topic><topic>Kidney Neoplasms - pathology</topic><topic>Kidney Neoplasms - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nephrectomy - methods</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>radiography</topic><topic>Renal Artery Obstruction - pathology</topic><topic>renal artery occlusion</topic><topic>Renal tumour</topic><topic>size</topic><topic>surgical</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Urinary system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herr, H.W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>BJU international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herr, H.W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiographic vs surgical size of renal tumours after partial nephrectomy</atitle><jtitle>BJU international</jtitle><addtitle>BJU Int</addtitle><date>2000-01</date><risdate>2000</risdate><volume>85</volume><issue>1</issue><spage>19</spage><epage>21</epage><pages>19-21</pages><issn>1464-4096</issn><eissn>1464-410X</eissn><abstract>Objective To compare the radiographic with the surgical size of renal tumours selected for partial nephrectomy.
Patients and methods In 50 patients undergoing elective partial nephrectomy for renal carcinoma (31 men and 19 women, preoperative tumour size 1.5–5.2 cm) the maximum size of the renal tumour, as assessed from computed tomography (CT) before surgery, was compared with the tumour size at surgery. All patients had their renal artery temporarily occluded before surgery to shrink the kidney.
Results After partial nephrectomy, the renal tumours were a mean of 0.63 cm smaller than the estimate from CT; tumours of 3.5 cm on CT were particularly reduced.
Conclusion Incidentally discovered tumours on CT that are < 3.5 cm and favourably located are often selected for partial nephrectomy. If temporary vascular occlusion and surface hypothermia of the kidney causes shrinkage of most tumours of 3.5 cm, then surgeons might attempt partial nephrectomy in borderline cases, with a better chance of complete resection.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>10619938</pmid><doi>10.1046/j.1464-410x.2000.00357.x</doi><tpages>3</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Biological and medical sciences Female Humans Investigative techniques, diagnostic techniques (general aspects) Kidney Neoplasms - diagnostic imaging Kidney Neoplasms - pathology Kidney Neoplasms - surgery Male Medical sciences Nephrectomy - methods Radiodiagnosis. Nmr imagery. Nmr spectrometry radiography Renal Artery Obstruction - pathology renal artery occlusion Renal tumour size surgical Tomography, X-Ray Computed - methods Urinary system |
| title | Radiographic vs surgical size of renal tumours after partial nephrectomy |
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