[65] Use of the R.E.N.A.L nephrometry score in decision making for renal cell carcinoma (RCC) treatment

Objective: To assess the usefulness of the R.E.N.A.L nephrometry score in surgical decision making in patients with renal cell carcinoma (RCC). The R.E.N.A.L nephrometry score parameters are radius, exophytic/endophytic properties, nearness of the tumour to the collecting system or sinus, anterior o...

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Autores principales:	Khaled Hosny, Mohamed Aboelsoud
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/457218fc18f74ee58b727765dbf7a648
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spelling	oai:doaj.org-article:457218fc18f74ee58b727765dbf7a6482021-12-02T10:36:47Z[65] Use of the R.E.N.A.L nephrometry score in decision making for renal cell carcinoma (RCC) treatment2090-598X10.1016/j.aju.2018.10.018https://doaj.org/article/457218fc18f74ee58b727765dbf7a6482018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301128https://doaj.org/toc/2090-598XObjective: To assess the usefulness of the R.E.N.A.L nephrometry score in surgical decision making in patients with renal cell carcinoma (RCC). The R.E.N.A.L nephrometry score parameters are radius, exophytic/endophytic properties, nearness of the tumour to the collecting system or sinus, anterior or posterior location, and location relative to the polar lines. Classification of RCC according to nephrometry score: low complexity score 4–6, moderate complexity 7–9, and high complexity score 10–12 points. Methods: We looked retrospectively at the imaging of 70 cases of RCC against the operative procedure that was performed. Results: There were 20 cases with low complexity scores: seven (35%) underwent radical nephrectomy (RN) and 13 (65%) underwent partial nephrectomy (PN). There were 32 cases of moderate complexity: 24 (75%) underwent RN and eight (25%) underwent PN. There were 18 cases of high complexity and all of them (100%) underwent RN. Conclusion: Of the 20 (35%) cases with low complexity scores the T1a RCC tumours should have been offered PN. Of the 32 cases with moderate complexity scores, 24 (75%) patients with T1b RCC tumours should have been offered PN after discussion of an 8% risk of positive surgical margins. Nephron-sparing surgery should be offered to patients with low or moderate complexity and the R.E.N.A.L nephrometry score can used to aid this decision.Khaled HosnyMohamed AboelsoudTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S31-S32 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Khaled Hosny Mohamed Aboelsoud [65] Use of the R.E.N.A.L nephrometry score in decision making for renal cell carcinoma (RCC) treatment
description	Objective: To assess the usefulness of the R.E.N.A.L nephrometry score in surgical decision making in patients with renal cell carcinoma (RCC). The R.E.N.A.L nephrometry score parameters are radius, exophytic/endophytic properties, nearness of the tumour to the collecting system or sinus, anterior or posterior location, and location relative to the polar lines. Classification of RCC according to nephrometry score: low complexity score 4–6, moderate complexity 7–9, and high complexity score 10–12 points. Methods: We looked retrospectively at the imaging of 70 cases of RCC against the operative procedure that was performed. Results: There were 20 cases with low complexity scores: seven (35%) underwent radical nephrectomy (RN) and 13 (65%) underwent partial nephrectomy (PN). There were 32 cases of moderate complexity: 24 (75%) underwent RN and eight (25%) underwent PN. There were 18 cases of high complexity and all of them (100%) underwent RN. Conclusion: Of the 20 (35%) cases with low complexity scores the T1a RCC tumours should have been offered PN. Of the 32 cases with moderate complexity scores, 24 (75%) patients with T1b RCC tumours should have been offered PN after discussion of an 8% risk of positive surgical margins. Nephron-sparing surgery should be offered to patients with low or moderate complexity and the R.E.N.A.L nephrometry score can used to aid this decision.
format	article
author	Khaled Hosny Mohamed Aboelsoud
author_facet	Khaled Hosny Mohamed Aboelsoud
author_sort	Khaled Hosny
title	[65] Use of the R.E.N.A.L nephrometry score in decision making for renal cell carcinoma (RCC) treatment
title_short	[65] Use of the R.E.N.A.L nephrometry score in decision making for renal cell carcinoma (RCC) treatment
title_full	[65] Use of the R.E.N.A.L nephrometry score in decision making for renal cell carcinoma (RCC) treatment
title_fullStr	[65] Use of the R.E.N.A.L nephrometry score in decision making for renal cell carcinoma (RCC) treatment
title_full_unstemmed	[65] Use of the R.E.N.A.L nephrometry score in decision making for renal cell carcinoma (RCC) treatment
title_sort	[65] use of the r.e.n.a.l nephrometry score in decision making for renal cell carcinoma (rcc) treatment
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/457218fc18f74ee58b727765dbf7a648
work_keys_str_mv	AT khaledhosny 65useoftherenalnephrometryscoreindecisionmakingforrenalcellcarcinomarcctreatment AT mohamedaboelsoud 65useoftherenalnephrometryscoreindecisionmakingforrenalcellcarcinomarcctreatment
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[65] Use of the R.E.N.A.L nephrometry score in decision making for renal cell carcinoma (RCC) treatment

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