Chest X-ray in the follow-up of renal cell carcinomaDoornweerd, B. H. J., de Jong, J., Bergman, L. M. & Ananias, H. J. K., Aug-2014, In : World journal of urology. 32, 4, p. 1015-1019 5 p.
Research output: Contribution to journal › Article › Academic › peer-review
To evaluate the value of chest X-ray in the follow-up of surgically treated T1-3N0M0 renal cell carcinoma.
We performed retrospective analysis of patients that underwent surgical treatment of a localized renal cell carcinoma (T1-3N0M0) between January 1993 and July 2010. Data on frequency and results of performed chest X-rays were collected from patients' records.
In 17.5 years, 249 patients with a T1-3N0M0 renal cell carcinoma underwent a radical or partial nephrectomy. In 221 patients, 823 chest X-rays were performed during a median follow-up of 3.3 years (range 0.5-17 years). In 19 patients, a pulmonary recurrence occurred, of which 10 were not detected by the regular follow-up. Of the 9 patients that were diagnosed with a pulmonary recurrence with a chest X-ray during follow-up, 7 were asymptomatic at the time of diagnosis, and the chest X-ray has led to the detection; 0.85 % of the performed chest X-rays (7/823) have led to the detection of asymptomatic lung metastases.
Due to the low yield of chest X-ray for detection of asymptomatic pulmonary recurrences, it has very low clinical value in the follow-up after nephrectomy for T1-3N0M0 renal cell carcinoma.
|Number of pages||5|
|Journal||World journal of urology|
|Publication status||Published - Aug-2014|
- Carcinoma, Renal cell, Follow-up studies, Radiography, Thoracic, CLINICAL-PRACTICE GUIDELINES, PROGNOSTIC-FACTORS, RADICAL NEPHRECTOMY, PULMONARY RESECTION, KIDNEY CANCER, NOMOGRAM, SURVEILLANCE, SURVIVAL, ONCOLOGY, PROTOCOL