Kidney

--Marshall FF, Stewart AK, Menck HR. The National Cancer Data Base report on kidney cancer. Cancer 1997; 80:2167-2174. (!)

Data include 8,140 kidney cancer cases in 1988 and 10,617 cases in 1993 from hospital cancer registries across the United States. These data represent 36% and 39% of all cases of kidney cancers diagnosed in the United States in 1988 and 1993, respectively. Time trends in patterns of care for kidney cancers were analyzed and the following observations were made. First, stage II disease has been diagnosed with increasing frequency (22.5% of reported cases in 1988 and 39.5% of reported cases in 1993) and changes in surgical practice have been apparent in the treatment of early stage disease (stage I and II). Second, there has been an overall increase in the frequency with which surgery alone is utilized as the primary treatment modality for stage I, II, and III disease; surgical treatment of stage IV kidney cancer has, however, declined. Third, partial nephrectomy rather than total nephrectomy has been performed with increasing frequency as a surgical treatment of stage I renal cancer. Finally, the administration of chemotherapy and immunotherapy, regardless of stage of disease at diagnosis, have not favorably impacted survival outcomes.

 

Clinical Infomation Bibliography