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  • Title: Multifocality incidence and accompanying clinicopathological factors in renal cell carcinoma.
    Author: Sargin SY, Ekmekcioglu O, Arpali E, Altinel M, Voyvoda B.
    Journal: Urol Int; 2009; 82(3):324-9. PubMed ID: 19440022.
    Abstract:
    INTRODUCTION: The incidence of multifocality and associated clinicopathological factors in renal cell carcinoma were evaluated. MATERIALS AND METHODS: Clinicopathological characteristics were assessed for 122 renal cell carcinoma-pathological specimens from 121 patients. Microscopic and gross tumor pathology, incidence of multifocality as well as association between tumor grade, histological subtype, stage, size and vascular involvement were assessed. RESULTS: Multifocal renal cell carcinoma was diagnosed in 16 of 122 specimens (13.1%). Satellite lesions for 15 of 16 specimens displaying multifocality had the same histological subtype as their primary tumor. The occult multifocality rate was 11.4%. Tumor grade and stage, but not size or volume, histological subtype, and vascular involvement were significantly related to multifocality. CONCLUSIONS: Accurate staging of renal cell carcinoma appears to be essential in determining whether a patient should undergo nephron-sparing surgery or radical nephrectomy. Patients with high stage and grade should receive the highest attention after nephron-sparing surgery. Larger studies are needed to further elucidate the association between clinicopathological factors and multifocality.
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