Incidental diagnosis of renal masses in patients treated at the National Center for Minimal Access Surgery
Keywords:
Diagnosis, Incidental findings, Kidney neoplasms, Nephrectomy.Abstract
Introduction: the diagnosis of renal masses has migrated from the stage in which the patient presents symptoms to the incidental stage, where they are detected by imaging studies. Objective: to determine the behavior of the incidental diagnosis of renal masses in the National Center for Minimal Access Surgery. Method: an observational, analytical and cross-sectional study was carried out in a series of 120 patients with a diagnosis of renal masses operated by laparoscopic surgery, at the National Center for Minimal Access Surgery, in the period from January 2014 to May 2019. They considered perioperative and oncological variables. Absolute, relative, mean and standard deviation frequencies were found; Pearson's chi-square test was used to associate the variables with a significance of 95 %, p <0.05. Results:incidental diagnosis predominated (64.2 %). The mean age and tumor size were 58.2 years and 4.24 cm, respectively. Malignant tumors predominated, in tumor stage pT1a and masses of moderate surgical complexity. Incidental diagnosis was not statistically associated with increasing age (p = 0.0585), nor with benign or malignant histology (p = 0.9787). Most of the patients who received partial nephrectomy were diagnosed incidentally (p = 0.0077). The tumor stage pT1a was significantly associated (p = 0.0157) with the incidental diagnosis of renal masses. Conclusions:the incidental diagnosis of renal masses predominated over the presence of symptoms and was significantly associated with low tumor stage and partial nephrectomy, but not with increasing age and tumor histology.References
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Tsui KH, Shvarts O, Smith RB, Figlin R, de Kernion JB, Belldegrun A. Renal cell carcinoma: prognostic significance of incidentally detected tumors. J Urol [Internet]. 2000 [citado 18/03/2021]; 163(2):426-30. Disponible en: https://pubmed.ncbi.nlm.nih.gov/10647646/
Ministerio de Salud Pública. Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud 2019. [Internet] La Habana, 2020 [citado 21/04/2020]. Disponible en: https://salud.msp.gob.cu/wp-content/Anuario/anuario_2019_edición_2020.pdf
Vasudev NS, Wilson M, Stewart GD, Adeyoju A, Cartledge J, Kimuli M, et al. Challenges of early renal cancer detection: symptom patterns and incidental diagnosis rate in a multicentre prospective UK cohort of patients presenting with suspected renal cancer. BMJ Open [Internet]. 2020 [citado 21/05/2021]; 10(5):e035938-e. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32398335/
Nicolau C, Antunes N, Paño B, Sebastia C. Imaging characterization of renal masses. Medicina (Kaunas) [Internet]. 2021 [citado 18/03/2021]; 57(1):51. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33435540/
Zaharie A, Bolboacă SD, Moisoiu T, Burghelea D, Iacob G, Ghervan L, et al. Renal Tumors in young adults: Is preoperative computer tomography imaging suggestive for the nature of the tumors? Diagnostics (Basel) [Internet]. 2020 [citado 18/03/2021]; 10(6):380. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32517346/
Zhou H-J, Yan Y, Zhang J-Z, Liang L-R, Guo S-B. Role of R.E.N.A.L. nephrometry score in laparoscopic partial nephrectomy. Chin Med J (Engl) [Internet]. 2017 [citado 21/03/2021]; 130(18):2170-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28875952/
Shi N, Zu F, Shan Y, Chen S, Xu B, Du M, et al. The value of RENAL score in both determining surgical strategies and predicting complications for renal cell carcinoma: A systematic review and meta-analysis. Cancer Med [Internet]. 2020 [citado 20/03/2021]; 9(11):3944-53. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32281277/
Abouleish AE, Leib ML, Cohen NH. ASA provides examples to each ASA physical status class. ASA Monitor [Internet]. 2015 [citado 29/07/2021]; 79:38-49. Disponible en: http://monitor.pubs.asahq.org/article.aspx?articleid=2434536
Laru L, Ronkainen H, Ohtonen P, Vaarala MH. Nephrectomy improves the survival of metastatic renal cell cancer patients with moderate to good performance status-results from a Finnish nation-wide population-based study from 2005 to 2010. World J Surg Oncol [Internet]. 2021 [citado 29/07/2021]; 19(1):190. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8240260/
Warren AY, Harrison D. WHO/ISUP classification, grading and pathological staging of renal cell carcinoma: standards and controversies. World J Urol [Internet]. 2018 [citado 29/07/2021]; 36(12):1913-1926. Disponible en: https://doi.org/10.1007/s00345-018-2447-8.
Aslan R, Taken K, Eryılmaz R. Clinicopathological features and survival data of localized renal masses in young adults. Asian Pac J Cancer Prev [Internet]. 2018 [citado 21/03/2021]; 19(11):3233-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30486625/
Padala SA, Barsouk A, Thandra KC, Saginala K, Mohammed A, Vakiti A, et al. Epidemiology of Renal Cell Carcinoma. World J Oncol [Internet]. 2020 [citado 18/03/2021]; 11(3):79-87. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30243799/
Mudumbai SC, Pershing S, Bowe T, Kamal RN, Sears ED, Finlay AK, et al. Development and validation of a predictive model for American Society of Anesthesiologists Physical Status. BMC Health Serv Res [Internet]. 2019 [citado 20/03/2021]; 19(1):859. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31752856/
Neeman E, Gresham G, Ovasapians N, Hendifar A, Tuli R, Figlin R, et al. Comparing physician and nurse Eastern Cooperative Oncology Group Performance Status (ECOG-PS) ratings as predictors of clinical outcomes in patients with cancer. Oncologist [Internet]. 2019 [citado 18/03/2021]; 24(12):e1460-e6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31227648/
Rossi SH, Klatte T, Usher-Smith J, Stewart GD. Epidemiology and screening for renal cancer. World J Urol [Internet]. 2018 [citado 20/03/2021]; 36(9):1341-53. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29610964/
Campbell S, Uzzo RG, Allaf ME, Bass EB, Cadeddu JA, Chang A, et al. Renal mass and localized renal cancer: AUA Guideline. J Urol [Internet]. 2017 [citado18/03/2021]; 198(3):520-9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28479239/
Li G, Luo Q, Lang Z, Li Y, Wang A, Wang K et al. Histopathologic analysis of stage pT1b kidney neoplasms for optimal surgical margins of nephron-sparing surgery. Clin Transl Oncol [Internet]. 2018 [citado 18/03/2021]; 20(9):1196-201. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29564715/
Gudbjartsson T, Thoroddsen A, Petursdottir V, Hardarson S, Magnusson J, Einarsson GV. Effect of incidental detection for survival of patients with renal cell carcinoma: results of population-based study of 701 patients. Urology [Internet]. 2005 [citado 20/03/2021]; 66(6):1186-91. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16360438/
Tsui KH, Shvarts O, Smith RB, Figlin R, de Kernion JB, Belldegrun A. Renal cell carcinoma: prognostic significance of incidentally detected tumors. J Urol [Internet]. 2000 [citado 18/03/2021]; 163(2):426-30. Disponible en: https://pubmed.ncbi.nlm.nih.gov/10647646/
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2021-08-26
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Hernández González L, Camiño Argote K, Inguanzo Escobar AC, Massip Nicot J, Hernández Campoalegre M, González León T. Incidental diagnosis of renal masses in patients treated at the National Center for Minimal Access Surgery. Rev 16 de abril [Internet]. 2021 Aug. 26 [cited 2024 Dec. 12];60(281):e1358. Available from: https://rev16deabril.sld.cu/index.php/16_04/article/view/1358
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