RESUMO
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Assuntos
Humanos , Masculino , Idoso , Adenocarcinoma/secundário , Células Gigantes/patologia , Neoplasias da Próstata/patologia , Adenocarcinoma/cirurgia , Carcinoma de Células Gigantes/diagnóstico por imagem , Carcinoma de Células Gigantes/secundário , Neoplasias da Próstata/diagnóstico por imagem , Neoplasias da Próstata/cirurgia , Antígeno Prostático Específico , Tomografia Computadorizada por Raios XRESUMO
OBJECTIVE: To evaluate the evolution of the clinical presentation of this malignancy over time, and its possible prognostic repercussions. METHODS: A retrospective study of 538 patients subjected to surgery due to renal cancer in our hospital during the period 1995-2011. An analysis was made of the evolution of the clinical manifestations at the time of diagnosis, stratifying the results by years during four time periods. RESULTS: At the time of diagnosis, 53,4% of the patients were asymptomatic for 1995-1999 and 72% in the period 2008-2011. Pain is the symptom that occurs most frequently (18.8%) followed by hematuria (15.4% ). The proportion of symptomatic patients increases in relation to stage and histopathological grade. CONCLUSIONS: The clinical presentation of renal cancer has evolved over the years, not in terms of symptoms, which when present are still similar, but in terms of their incidence.
Assuntos
Neoplasias Renais/epidemiologia , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Comorbidade , Progressão da Doença , Feminino , Hematúria/etiologia , Humanos , Neoplasias Renais/diagnóstico , Neoplasias Renais/terapia , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Dor/etiologia , Estudos Retrospectivos , Fatores SexuaisRESUMO
OBJETIVO: Análisis del cambio de presentación clínica del tumor renal con el paso del tiempo y su posible repercusión pronóstica. MÉTODOS: Estudio retrospectivo de 538 pacientes intervenidos quirúrgicamente por esta patológica en nuestro hospital entre 1995 y 2011. Analizamos la evolución de las manifestaciones clínicas al diagnóstico estratificando los resultados por años divididos en cuatro periodos. RESULTADOS: Se observa un porcentaje significativamente creciente de diagnóstico en pacientes asintomáticos con el paso del tiempo siendo del 53.4% en el periodo 1995-1999 y del 72 % en 2008-2011. El dolor es el síntoma que se presenta con mayor frecuencia (18.8%) seguido de la hematuria (15.4%). El porcentaje de pacientes sintomáticos aumenta con el estadio y el grado tumoral. CONCLUSIÓN: Las manifestaciones clínicas del tumor renal han evolucionado con el tiempo, no en cuanto a los síntomas que cuando están presentes son similares, sino en cuanto a su incidencia (AU)
OBJECTIVE: To evaluate the evolution of the clinical presentation of this malignancy over time, and its possible prognostic repercussions. METHODS: A retrospective study of 538 patients subjected to surgery due to renal cancer in our hospital during the period 1995-2011. An analysis was made of the evolution of the clinical manifestations at the time of diagnosis, stratifying the results by years during four time periods. RESULTS: At the time of diagnosis, 53,4% of the patients were asymptomatic for 1995-1999 and 72% in the period 2008-2011. Pain is the symptom that occurs most frequently (18.8%) followed by hematuria (15.4%). The proportion of symptomatic patients increases in relation to stage and histopathological grade. CONCLUSIONS: The clinical presentation of renal cancer has evolved over the years, not in terms of symptoms, which when present are still similar, but in terms of their incidence (AU)
