Preoperative and palliative embolization of renal cell carcinomas: follow-up of 49 patients

RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
P HallscheidtG W Kauffmann

Abstract

To evaluate the influence of preoperative and palliative embolization of renal cell carcinomas on survival, intra- and post-operative procedures, and symptom control for palliative and preoperative indications. 56 patients who underwent renal cell carcinoma embolization from 1981 to 1999 were included in this retrospective study. 24 women and 32 men were included (mean age 59.4 years). Complete follow-up data was available for 49 patients. 42 patients underwent preoperative embolization at different tumor stages (pT1: 1 patient, pT2: 6, pT3 a: 4, pT3 b: 19, pT3 c: 2, pT4: 5). 14 patients underwent palliative embolization (T1: 0 patients, T2: 5, T3: 4, T4: 4). Indications for preoperative embolization were bleeding of the renal tumor in 6 cases -- non-recurrent bleeding reported, flank pain in 4 patients -- 3 of 4 patients had no further symptoms, recurrent tumor embolization in 1 patient, and 2 patients who wanted to be treated without symptoms. The mean survival time of preoperative embolized patients was 3.1 +/- 5.11 years with a 5-year survival rate of 50 %. The mean survival time of palliative embolized patients was 0.67 +/- 0.76 years with initial metastases (n = 7) and 2.33 +/- 2.40 without metastases (n = 6). Palliative ...Continue Reading

Citations

Jan 9, 2007·Cardiovascular and Interventional Radiology·Moritz PalmowskiPeter Hallscheidt
Dec 1, 2007·Seminars in Interventional Radiology·Kush R Desai, Richard I Chen
Mar 28, 2008·Journal of Endourology·Jens RassweilerGötz Richter

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