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Chest X-ray in the follow-up of renal cell carcinoma

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Abstract

Purpose

To evaluate the value of chest X-ray in the follow-up of surgically treated T1-3N0M0 renal cell carcinoma.

Methods

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.

Results

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.

Conclusions

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.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Urology, University Medical Center Groningen, Groningen, The Netherlands

    B. H. J. Doornweerd, I. J. de Jong & H. J. K. Ananias

  2. Department of Radiology, University Medical Center Groningen, Groningen, The Netherlands

    L. M. Bergman

Authors
  1. B. H. J. Doornweerd
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  2. I. J. de Jong
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  3. L. M. Bergman
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  4. H. J. K. Ananias
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Correspondence to B. H. J. Doornweerd.

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Doornweerd, B.H.J., de Jong, I.J., Bergman, L.M. et al. Chest X-ray in the follow-up of renal cell carcinoma. World J Urol 32, 1015–1019 (2014). https://doi.org/10.1007/s00345-013-1176-2

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  • DOI: https://doi.org/10.1007/s00345-013-1176-2

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