Advertisement

Renal Cell Carcinoma: Clinical Aspects and Natural History

  • J. P. Blandy
  • H. R. England
  • R. T. D. Oliver
Part of the NATO Advanced Science Institutes Series book series (NSSA, volume 53)

Abstract

We teach our medical students that the presenting features of an adenocarcinoma of the kidney are haematuria, pain and a mass that has been noticed either by the patient or the doctor. We make the diagnosis by discovering a mass in the urogram that is solid in the ultrasound scan, typically vascular in the angiogram, or characteristically dense in the CAT scan. Pathologists tell us that one can tell a cancer of the kidney from a benign adenoma not by the histological features of either of them, but by their size — tumours smaller than 3 cm. in diameter being deemed benign, larger ones malignant. Treatment is nephrectomy: it is true that many of us have added other adjuvant agents from time to time, but it is equally true that none of them are (so far) of proven value. This is the conventional wisdom. We thought it would be of value to examine these well established truths in the light of the clinical experience of one centre over the last 15 years.

Keywords

Renal Cell Carcinoma Partial Nephrectomy Conventional Wisdom Renal Carcinoma Medroxyprogesterone Acetate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    TNM Classification of Malignant Tumours, 3rd Edition, M.H. Harmer (ed), Geneva (1978).Google Scholar
  2. 2.
    W.B. Peeling, B.S. Mantell and B.G.F. Shepheard, Post-Operative Irradiation in the Treatment of Renal Cell Carcinoma, Brit. J. Urol. 41:23 (1969).PubMedCrossRefGoogle Scholar
  3. 3.
    F.K. Kirchner Jr, V. Braren, C. Smith, J.P. Wilson, J.H. Foster, J.W. Hollifield and R.K. Rhamy, Renal Carcinoma Discovered Incidentally by Arteriography During Evaluation for Hypertension J. Urol. 115:643 (1976).PubMedGoogle Scholar
  4. 4.
    J.P. Blandy, The Early Diagnosis of Genitourinary Carcinoma, Practitioner, 218:81 (1977).PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1983

Authors and Affiliations

  • J. P. Blandy
    • 1
  • H. R. England
    • 1
  • R. T. D. Oliver
    • 1
  1. 1.The London Hospital and Institute of UrologyLondonUK

Personalised recommendations