You have accessJournal of UrologyKidney Cancer: Advanced (including Drug Therapy) I1 Apr 2016MP03-20 ONCOLOGIC OUTCOME AFTER PARTIAL NEPHRECTOMY COMPARED WITH RADICAL NEPHRECTOMY FOR PRIMARY RENAL TUMORS IN STAGE T3A Asaf Shvero, Dorit Zilberman, Yoram Mor, Issac Kaver, Edi Fridman, Orith Portnoy, Menahem Laufer, Raanan Berger, Jacob Ramon, and Zohar Dotan Asaf ShveroAsaf Shvero More articles by this author , Dorit ZilbermanDorit Zilberman More articles by this author , Yoram MorYoram Mor More articles by this author , Issac KaverIssac Kaver More articles by this author , Edi FridmanEdi Fridman More articles by this author , Orith PortnoyOrith Portnoy More articles by this author , Menahem LauferMenahem Laufer More articles by this author , Raanan BergerRaanan Berger More articles by this author , Jacob RamonJacob Ramon More articles by this author , and Zohar DotanZohar Dotan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1913AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Partial nephrectomy due to primary renal tumor is performed for small lesions and early disease stage. The oncologic outcome of partial nephrectomy for stage T3a renal tumors, is not well defined. The purpose of this study is to examine the oncologic outcome after partial nephrectomy for T3a renal tumors, in comparison to radical nephrectomy. METHODS In our database of patients that underwent nephrectomy between the years 1987-2014 there are 2015 patients. From which, 832 patients underwent partial nephrectomy due to primary renal tumors suspected to be malignant. Patients with pathology other than renal cell carcinoma were not included in the study. In this database, there were 131 (15.7%) patients with a pathological disease stage T3a. From which, 19 (15%) and 112 (85%) were treated by partial and radical nephrectomy respectively. We compared partial with radical nephrectomy using demographic data (gender, age, year of surgery), pathological data (tumor size, histological type, stage, grade), and oncologic outcome (5-year rate of local recurrence, metastatic progression, and death from renal tumor). The study was approved by the local ethical committee. RESULTS Table 1 details the demographic and pathological data divided by surgical treatment type. Patients treated with partial nephrectomy had lower clinical disease stages prior to surgery. Between the two groups - partial vs. radical nephrectomy, no significant difference was found in local recurrent rate (10.5% vs. 12.5%, p=0.659), metastatic progression (8.9% vs. 10.5%, p=0.967), and death from renal tumor (10.5% vs. 19.6%, p=0.278) respectively. CONCLUSIONS According to our data, partial nephrectomy for pathological disease stage T3a, yields similar oncologic outcome to radical nephrectomy at 5 year follow up. The main limitation of this study is that the T3a stage is pathological that was defined after surgery. In addition, partial resections were done on significantly smaller tumors than radical resections. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e27 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Asaf Shvero More articles by this author Dorit Zilberman More articles by this author Yoram Mor More articles by this author Issac Kaver More articles by this author Edi Fridman More articles by this author Orith Portnoy More articles by this author Menahem Laufer More articles by this author Raanan Berger More articles by this author Jacob Ramon More articles by this author Zohar Dotan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...