Renal Cancer - Prognosis

  • Few recurrences are local [renal bed]. Most are pulomary, hepatic, or bone.
  • Disease specific cancer survival is stage dependent at 5 and 10 years
    Stage 5 yrs 10 yrs
    I 90 80
    II 80 70
    III 50 35
    IV 10 3
  • Partial nephrectomy in <4 cm lesions has a disease free survival approaching 100% at 5 years
  • Incidentally found, unilateral and small lesions perform best

Memorial Sloan-Kettering Nomogram

Researchers at Memorial Sloan-Kettering have developed a nomogram that combines prognostic factors to predict the likelihood of recurrence after surgery for renal cell carcinoma. This nomogram can be used to predict the five-year probability of treatment failure among patients with newly-diagnosed renal cell carcinoma.

http://www.mskcc.org/mskcc/html/6156.cfm

References

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