Figure 7.Surgical treatment distribution of medularyrenalis, post-neuroblastoma, renal cell carcinoma andspindle mucinous tubular cell After three months evaluation, 2 and carcinoma. Clear cell papillary renal (7%) patients were passed, and 7 (24%) are primarily raised from cell carcinoma recurrent. proximal tubules of the kidney, while DISCUSSION are chromophobeand collecting duct Within 5 years of 2006 until 2010 in derived from more distal nephron DrSoetomo hospital Surabaya has been component. Based on genetics, the managed patient with itsappear to be incidence of RCC also has correlation with RCC, more common in men, 18 (62%) with ratio familial factors, such as von hippellindau 6:1 to women, in age of 30 to 70 years old, (VHL),hereditary papillary RCC (HPRCC), mostly 60-70 years old (24%) with the hereditary leiomyomatosis (HLRCC) and average rate 51 years old. Similar to the birthogg-dube (BHD).4,5,6 literature which mentioned men and women Macroscopically most of RCC are ratio of 1,5 : 1, aged 60-70 years old. Our surrounded by a pseudo capsule which is datas similiar to the datas of literatur were renal parenchyma that is suppressed by the to be affected 1,5 times of men, mostlyof tumor, rarely infiltrative, unlike transitional 60 70 years old. except for 1,2,3,4. cell carcinoma, collecting duct – According to WHO there are and type is sarcomatoidtypes. Clear cell subtypes of renal cell carcinoma based on yellow-gold colored and has worse histology which are; (70% -80%), prognosis compared to and clear cell papillary (10%-15%), 2 papillary chromophobe. A papillary type has (<1%), subtypes; more aggressive and collecting duct papillary 2is (1%-3%) and several other rare types appear to have worse prognosis than RCC type 1. such as; Most patients with are multilocular cyst clear cell, collecting ducttype
Figure 7.Surgical treatment distribution of renal cell carcinoma After three months evaluation, 2 (7%) patients were passed, and 7 (24%) recurrent. DISCUSSION Within 5 years of 2006 until 2010 in DrSoetomo hospital Surabaya has been managed patient with RCC, itsappear to be more common in men, 18 (62%) with ratio 6:1 to women, in age of 30 to 70 years old, mostly 60-70 years old (24%) with the average rate 51 years old. Similar to the literature which mentioned men and women ratio of 1,5 : 1, aged 60-70 years old. Our datas similiar to the datas of literatur were to be affected 1,5 times of men, mostlyof 60 – 70 years old. 1,2,3,4. According to WHO there are subtypes of renal cell carcinoma based on histology which are; clear cell (70% -80%), papillary (10%-15%), collecting duct (<1%), RCC (1%-3%) and several other rare types such as; multilocular cyst clear cell, medularyrenalis, post-neuroblastoma, mucinous tubular andspindle cell carcinoma. Clear cell and papillary renal cell carcinoma are primarily raised from proximal tubules of the kidney, while chromophobeand collecting duct are derived from more distal nephron component. Based on genetics, the incidence of RCC also has correlation with familial factors, such as von hippellindau (VHL),hereditary papillary RCC (HPRCC), hereditary leiomyomatosis (HLRCC) and birthogg-dube (BHD).4,5,6 Macroscopically most of RCC are surrounded by a pseudo capsule which is renal parenchyma that is suppressed by the tumor, rarely infiltrative, unlike transitional cell carcinoma, except for collecting duct and sarcomatoidtypes. Clear cell type is yellow-gold colored and has worse prognosis compared to papillary and chromophobe. A papillary type has 2 subtypes; papillary 2is more aggressive and appear to have worse prognosis than type 1. Most patients with collecting ducttype are
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