presentation in M0 was 23(79%) and M1 surgery without any seen invasion to the 6(21%) patients. upper pole. Lymph node dissection during In order to see the prognosis, nephrectomy is proven to give better categorizing are done into tumor staging prognosis and life expectancy, as well as where 15 patients are stage II (52%), embolization before nephrectomy. For unfit 10(34%) are stage IV and only 1(3%) is patients who are not possible for surgery, stage I. This is possible because of embolization may reduce pain and gross community’s lack of awareness of the hematuria.16,17,18,19. importance of renal tumor’s early treatment, Radical nephrectomy is the chosen they don’t come for help when it’s early. option for local renal cell carcinoma which From pathological results, for as is not possible to do partial nephrectomy. many as 15 patients (52%) the most seen Laparoscopy and open surgery have type was followed by comparable cancer free rates after long clear celltype, 10 patients (34%) and period of time, with minimal blood loss and papillary cellin 2(10%) werechromophobetype. In shorter length of stay. Ideal indication for accordance with the literature, laparoscopy partial nephrectomy is small clear is the majority type of RCC for peripheral tumor. Nephrectomy is curative celltype about 70-80% followed by treatment only as long as all tumors are papillary and We didn’t resectable. In metastatic disease, chromophobe3-5%. find any other type at Dr. Soetomo hospital. nephrectomy is palliative, only performed if Partial resection for local renal cell it is possible. 20,21,22,23,24,25,26 carcinoma shows a similar outcome to Due to growth of proximal tubule radical nephrectomy. Adrenalectomy is not of the kidney, is now showing RCC performed if the adrenal gland is normal on resistance to some protein drugs, CT or MRI, and found no nodule during and chemotherapy. In
presentation in M0 was 23(79%) and M1 6(21%) patients. In order to see the prognosis, categorizing are done into tumor staging where 15 patients are stage II (52%), 10(34%) are stage IV and only 1(3%) is stage I. This is possible because of community’s lack of awareness of the importance of renal tumor’s early treatment, they don’t come for help when it’s early. From pathological results, for as many as 15 patients (52%) the most seen type was clear celltype, followed by papillary cellin 10 patients (34%) and 2(10%) werechromophobetype. In accordance with the literature, clear celltype is the majority type of RCC for about 70-80% followed by papillary and chromophobe3-5%. We didn’t find any other type at Dr. Soetomo hospital. Partial resection for local renal cell carcinoma shows a similar outcome to radical nephrectomy. Adrenalectomy is not performed if the adrenal gland is normal on CT or MRI, and found no nodule during surgery without any seen invasion to the upper pole. Lymph node dissection during nephrectomy is proven to give better prognosis and life expectancy, as well as embolization before nephrectomy. For unfit patients who are not possible for surgery, embolization may reduce pain and gross hematuria.16,17,18,19. Radical nephrectomy is the chosen option for local renal cell carcinoma which is not possible to do partial nephrectomy. Laparoscopy and open surgery have comparable cancer free rates after long period of time, with minimal blood loss and shorter length of stay. Ideal indication for laparoscopy partial nephrectomy is small peripheral tumor. Nephrectomy is curative treatment only as long as all tumors are resectable. In metastatic disease, nephrectomy is palliative, only performed if it is possible. 20,21,22,23,24,25,26 Due to growth of proximal tubule of the kidney, RCC is now showing resistance to some protein drugs, and chemotherapy. In
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