Nephron-Sparing Surgery Is Equally Effective to Radical Nephrectomy for T1BN0M0 Renal Cell Carcinoma: A Population-Based Assessment

Urology. 2010 Feb 1;75(2):271-275, M Crépel, C Jeldres, P Perrotte, U Capitanio, H Isbarn, SF Shariat, D Liberman, M Sun, G Lughezzani, P Arjane, H Widmer, M Graefen, F Montorsi, J-J Patard, PI Karakiewicz

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Abstract

Abstract

Objectives: To test the effect of nephron-sparing surgery (NSS) vs radical nephrectomy (RN) on cancer-specific mortality (CSM) in patients with T1bN0M0 renal cell carcinoma (RCC) in a population-based cohort. To date, only few series from tertiary care centers supported the use of NSS for T1bN0M0 (range 4-7 cm) RCC. Methods: The Surveillance, Epidemiology, and End Results database allowed us to identify 275 NSS (5.3%) and 4866 RN (94.7%) patients treated for T1bN0M0 RCC between 1988 and 2004. Analyses...

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