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Category: Volume 05 Issue 08 August 2017
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Title: Renal Cell Carcinoma: Presentation and Management - A Single Centre Experience

Authors: Vaibhav Vikas, Priyabrata Das, Shanky Singh, Jatin Soni

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i8.41

Abstract

Background: Renal cell carcinoma (RCC) is the one of the most lethal urological carcinoma. It has a high incidence rate in western countries as compared to the Asian countries. There is paucity of literature about the incidence and types of RCC in Asian countries like India. The presentation of RCC has shifted from symptomatic towards incidental detection due to widespread availability of imaging techniques like ultrasonography. This study is a prospective observational study which aims at detecting the incidence and percentage of types of RCC in Southern India at a tertiary care health centre.

Material and Methods: All the patients of nephrectomy (over a period of one year) whose biopsy came out as renal cell carcinoma were included in the study. Data was analysed in terms of age at presentation, mode of presentation, stage at presentation, laterality and percentage of various types of histological types.

Results: Total 76 patients were enrolled in the study (57 males and 19 females) after excluding 11 patients who lost to follow up. 75% patients (n=57) were males and 25% females (n=19). Most common RCC was clear cell (76.31%). Peak incidence was in 7th decade. Radical nephrectomy was done in 54 and partial nephrectomy in 22 patients.

Keywords: Renal cell carcinoma, incidental detection, paraneoplastic syndromes, radical nephrectomy, partial nephrectomy.

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Corresponding Author

Priyabrata Das

C/O Baby Peter, Nirmal T.C. VI/2009, Medical College PO, Prasanth Nagar,

Thiruvananthapuram-695011, Kerala

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