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Conference Paper: Is chest X-Ray necessary for renal cell carcinoma surveillance after partial nephrectomy and radical nephrectomy?

TitleIs chest X-Ray necessary for renal cell carcinoma surveillance after partial nephrectomy and radical nephrectomy?
Authors
Issue Date2017
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.bjui.org/
Citation
22nd Annual Scientific Meeting of the Hong Kong Urological Association, Hong Kong, 20 November 2016. In BJU International, 2017, v. 119 n. suppl. 3, p. 12 How to Cite?
AbstractObjective: To evaluate the detection rateof chest radiographs (CXR) and thoraxcomputer tomography (CT) for asymp-tomatic lung metastasis during surveillancefollow-up of renal cell carcinoma (RCC)after partial nephrectomy (PN) and radicalnephrectomy (RN).Patients and Methods: A retrospectivereview of PN and RN for RCC between2001 and 2014 was done to identify theincidence of lung metastasis, patientdemographics, tumour characteristics andtotal number of chest radiographs. Patientswho had concomitant malignancies andcyto-reductive nephrectomies wereexcluded.Results: 269 patients were included (114PN and 155 RN). In the PN group, therewere 82% T1a, 16% T1b and 2% T2a dis-eases. The RN group had 50% T1, 27% T2and 22% T3 diseases. The median follow-up was at least 54 months. 1691 and 2761CXR were done for PN and RN groupsrespectively. 55 and 224 CT thorax weredone for PN and RN groups respectively.For PN, the pickup rate of lung metastasiswas 0.06% by CXR and 0% by CT thorax.That of RN was 0.29% and 5.8% respec-tively.Conclusion: Routine surveillance withCXR is not useful in surveillance after PNor RN regardless of risk group. CT thoraxshould be considered in surveillance of RNafter risk stratification.
DescriptionAbstract
Persistent Identifierhttp://hdl.handle.net/10722/241672
ISSN
2017 Impact Factor: 4.688
2015 SCImago Journal Rankings: 2.009

 

DC FieldValueLanguage
dc.contributor.authorWong, AHG-
dc.contributor.authorTsang, CF-
dc.contributor.authorWong, TF-
dc.contributor.authorLai, TCT-
dc.contributor.authorWong, JKW-
dc.contributor.authorHo, SHB-
dc.contributor.authorNg, ATL-
dc.contributor.authorMa, WK-
dc.contributor.authorTsu, HLJ-
dc.contributor.authorYiu, MK-
dc.date.accessioned2017-06-20T01:46:58Z-
dc.date.available2017-06-20T01:46:58Z-
dc.date.issued2017-
dc.identifier.citation22nd Annual Scientific Meeting of the Hong Kong Urological Association, Hong Kong, 20 November 2016. In BJU International, 2017, v. 119 n. suppl. 3, p. 12-
dc.identifier.issn1464-4096-
dc.identifier.urihttp://hdl.handle.net/10722/241672-
dc.descriptionAbstract-
dc.description.abstractObjective: To evaluate the detection rateof chest radiographs (CXR) and thoraxcomputer tomography (CT) for asymp-tomatic lung metastasis during surveillancefollow-up of renal cell carcinoma (RCC)after partial nephrectomy (PN) and radicalnephrectomy (RN).Patients and Methods: A retrospectivereview of PN and RN for RCC between2001 and 2014 was done to identify theincidence of lung metastasis, patientdemographics, tumour characteristics andtotal number of chest radiographs. Patientswho had concomitant malignancies andcyto-reductive nephrectomies wereexcluded.Results: 269 patients were included (114PN and 155 RN). In the PN group, therewere 82% T1a, 16% T1b and 2% T2a dis-eases. The RN group had 50% T1, 27% T2and 22% T3 diseases. The median follow-up was at least 54 months. 1691 and 2761CXR were done for PN and RN groupsrespectively. 55 and 224 CT thorax weredone for PN and RN groups respectively.For PN, the pickup rate of lung metastasiswas 0.06% by CXR and 0% by CT thorax.That of RN was 0.29% and 5.8% respec-tively.Conclusion: Routine surveillance withCXR is not useful in surveillance after PNor RN regardless of risk group. CT thoraxshould be considered in surveillance of RNafter risk stratification.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.bjui.org/-
dc.relation.ispartofBJU International-
dc.rightsPreprint This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article]. Authors are not required to remove preprints posted prior to acceptance of the submitted version. Postprint This is the accepted version of the following article: [full citation], which has been published in final form at [Link to final article].-
dc.titleIs chest X-Ray necessary for renal cell carcinoma surveillance after partial nephrectomy and radical nephrectomy?-
dc.typeConference_Paper-
dc.identifier.emailHo, SHB: hobrian@hku.hk-
dc.identifier.emailMa, WK: mwk054@hku.hk-
dc.identifier.emailTsu, HLJ: jamestsu@hku.hk-
dc.identifier.emailYiu, MK: pmkyiu@hku.hk-
dc.identifier.doi10.1111/bju.13768-
dc.identifier.hkuros272644-
dc.identifier.volume119-
dc.identifier.issuesuppl. 3-
dc.identifier.spage12-
dc.identifier.epage12-
dc.publisher.placeUnited Kingdom-
dc.customcontrol.immutablecsl 170714-

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