Long-term survival rates after resection for locally advanced kidney cancer: Memorial sloan kettering cancer center 1989 to 2012 experience

Wassim M. Bazzi, Daniel D. Sjoberg, Michael A. Feuerstein, Alexandra Maschino, Sweeney Verma, Melanie Bernstein, Matthew F. O'Brien, Thomas Jang, William Lowrance, Robert J. Motzer, Paul Russo

Research output: Contribution to journalArticle

Abstract

Purpose We analyzed the 23-year Memorial Sloan Kettering Cancer Center experience with surgical resection, and concurrent adrenalectomy and lymphadenectomy for locally advanced nonmetastatic renal cell carcinoma. Materials and Methods We retrospectively reviewed the records of 802 patients who underwent nephrectomy with or without concurrent adrenalectomy or lymphadenectomy for locally advanced renal cell carcinoma, defined as stage T3 or greater and M0. Patients who received adjuvant treatment within 3 months of surgery or had fewer than 3 months of followup or bilateral renal masses at presentation were excluded from analysis. Five and 10-year progression-free and overall survival was estimated by the Kaplan-Meier method. Differences between groups were analyzed by the log rank test. Results A total of 596 (74%) and 206 patients (26%) underwent radical and partial nephrectomy, respectively. Renal cell carcinoma progressed in 189 patients and 104 died of the disease. Median followup in patients without progression was 4.6 years. Symptoms at presentation, ASA® classification, tumor stage, histological subtype, grade and lymph node status were significantly associated with progression-free and overall survival. On multivariate analysis adrenalectomy use decreased with time but lymphadenectomy use increased (OR 0.82 vs 1.16 per year). Larger tumors were associated with a higher likelihood of concurrent adrenalectomy and lymphadenectomy. Conclusions In our series of patients with locally advanced nonmetastatic renal cell carcinoma survival was favorable in those in good health who were asymptomatic at presentation with T3 tumors and negative lymph nodes. Further, there has been a trend toward more selective use of adrenalectomy and increased use of lymphadenectomy.

Original languageEnglish (US)
Pages (from-to)1911-1916
Number of pages6
JournalJournal of Urology
Volume193
Issue number6
DOIs
Publication statusPublished - Jun 1 2015
Externally publishedYes

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Keywords

  • adrenal glands
  • carcinoma
  • kidney
  • lymph nodes
  • nephrectomy
  • renal cell

ASJC Scopus subject areas

  • Urology

Cite this

Bazzi, W. M., Sjoberg, D. D., Feuerstein, M. A., Maschino, A., Verma, S., Bernstein, M., ... Russo, P. (2015). Long-term survival rates after resection for locally advanced kidney cancer: Memorial sloan kettering cancer center 1989 to 2012 experience. Journal of Urology, 193(6), 1911-1916. https://doi.org/10.1016/j.juro.2014.12.022