A STANDARDIZED ANATOMICAL CLASSIFICATION OF SMALL RENAL TUMORS
Authors:
V. Ficarra; G. Novara
Authors place of work:
Urologic Unit, University of Padua Italy
; Department of Surgical and Oncological Science
Published in the journal:
Urol List 2010; 8(2): 16-19
Summary
Until 2009, given the lack of an objective, reliable, and reproducible index encompassing the most important anatomical and topographic characteristics of renal tumors, clinical tumor size was the only feature widely used to measure the technical complexity of PN. Recently, the urologic community had the opportunity to use standardized anatomical classifications able to stratify patients suitable for partial nephrectomy according to different risks of complications. Specifically, RENAL nephrometry and PADUA scores were proposed with the aim to standardize the classification of the renal tumors according to their more relevant anatomical characteristics. In this article, we summarized the development, the calculation and the results of the PADUA score. Moreover, we highlighted the main differences between PADUA and RENAL nephrometry score.
Key words:
renal cell carcinom, apartial nephrectomy, anatomical classification
Zdroje
1. Ljungberg B, Hanbury DC, Kuczyk MA et al. Renal cell carcinoma guideline. Eur Urol 2007; 51(6): 1502–1510.
2. Novick AC, Campbell SC, Belldegrun A et al. Guideline for management of the clinical stage 1 renal mass (2009). American Urological Association Web site. http://www.auanet.org/content/guidelinesand-quality -care/clinical-guidelines/main reports/renalmass09.pdf.
3. Belldegrun A, Tsui KH, deKernion JB et al. Efficacy of nephron-sparing surgery for renal cell carcinoma: analysis based on the new 1997 tumor-node-metastasis staging system. J Clin Oncol 1999; 17(9): 2868–2875.
4. Patard JJ, Shvarts O, Lam JS et al. Safety and efficacy of partial nephrectomy for all T1 tumors based on an international multicenter experience. J Urol 2004; 171: 2181–2185.
5. Ficarra V, Novara G, Secco S et al. Preoperative aspects and dimensions used for an anatomical (PADUA) classification of renal tumours in patients who are candidates for nephron-sparing surgery. Eur Urol 2009; 56: 786–793.
6. Kutikov A, Uzzo RG. The RENAL nephrometry score: a comprehensive standardized system for quantitating renal tumor size, location and depth. J Urol 2009; 182(3): 844–853.
Štítky
Paediatric urologist UrologyČlánok vyšiel v časopise
Urological Journal
2010 Číslo 2
Najčítanejšie v tomto čísle
- SCROTAL ULTRASOUND: PRINCIPLES AND PRACTICE
- Management Renal Tumors
- Tumor markes in renal cancer: help for diagnosis, prognosis, treatment and follow up
- A STANDARDIZED ANATOMICAL CLASSIFICATION OF SMALL RENAL TUMORS