Is perioperative examination of frozen sections necessary in nephron-sparing surgery?

Mehmet KALKAN; Soner YALÇINKAYA; Coşkun ŞAHİN; Yeşim ÜÇKURT; Ömer ETLİK

Makale detayları

Is perioperative examination of frozen sections necessary in nephron-sparing surgery?

Yazarlar:

Mehmet KALKAN | Soner YALÇINKAYA | Coşkun ŞAHİN | Yeşim ÜÇKURT | Ömer ETLİK

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2014 Vol.44 Issue 1, pp.95-98

Belge Tipi:

Makale

Yayın Tarihi:

5/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000753424

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Anahtar kelimeler:

Özet:

 

To evaluate the role of perioperative freezing in the management of surgical procedures in patients with malignant renal masses.   Materials and methods: The study group consisted of 17 patients diagnosed with renal masses who underwent nephron-sparing surgery. The group included 5 females and 12 males aged from 44 to 68 years (mean = 54.6). The mean mass size was 5.5 cm. Mass locations were as follows: 9 were in the lower pole, 4 were in the mid-pole, and 6 were in the upper pole. Perioperative freezing was not carried out. The patients were followed-up in a period ranging from 3 months to 7 years.   Results: Tumor pathology was reported as renal cell carcinoma in all cases, and surgical margins were negative in all of them. One patient died after 1 year because of tumor metastasis. In another patient, the tumor reoccurred in the same kidney and a radical nephrectomy was performed. Other patients were followed without recurrence.  Conclusion: Imaging of the renal vascular system and freezing during surgery is not necessary for nephron-sparing surgery for renal cell carcinoma; however, we should be careful in terms of capsule invasion because of tumor recurrence.

 

To evaluate the role of perioperative freezing in the management of surgical procedures in patients with malignant renal masses.   Materials and methods: The study group consisted of 17 patients diagnosed with renal masses who underwent nephron-sparing surgery. The group included 5 females and 12 males aged from 44 to 68 years (mean = 54.6). The mean mass size was 5.5 cm. Mass locations were as follows: 9 were in the lower pole, 4 were in the mid-pole, and 6 were in the upper pole. Perioperative freezing was not carried out. The patients were followed-up in a period ranging from 3 months to 7 years.   Results: Tumor pathology was reported as renal cell carcinoma in all cases, and surgical margins were negative in all of them. One patient died after 1 year because of tumor metastasis. In another patient, the tumor reoccurred in the same kidney and a radical nephrectomy was performed. Other patients were followed without recurrence.  Conclusion: Imaging of the renal vascular system and freezing during surgery is not necessary for nephron-sparing surgery for renal cell carcinoma; however, we should be careful in terms of capsule invasion because of tumor recurrence.

Makale detayları

Is perioperative examination of frozen sections necessary in nephron-sparing surgery?

Yazarlar:

Mehmet KALKAN | Soner YALÇINKAYA | Coşkun ŞAHİN | Yeşim ÜÇKURT | Ömer ETLİK

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2014 Vol.44 Issue 1, pp.95-98

Belge Tipi:

Makale

Yayın Tarihi:

5/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000753424

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Key words: Frozen section

nephron sparing

renal cell carcinoma

Sayı

Makale detayları

Is perioperative examination of frozen sections necessary in nephron-sparing surgery?

Yazarlar: Mehmet KALKAN | Soner YALÇINKAYA | Coşkun ŞAHİN | Yeşim ÜÇKURT | Ömer ETLİK

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2014 Vol.44 Issue 1, pp.95-98

Belge Tipi: Makale

Yayın Tarihi: 5/2014

Belge Dili: Türkçe

Document ID (Org No.): 2000753424

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Key words: Frozen section

nephron sparing

renal cell carcinoma

Sayı

Yazarlar:

Mehmet KALKAN | Soner YALÇINKAYA | Coşkun ŞAHİN | Yeşim ÜÇKURT | Ömer ETLİK

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2014 Vol.44 Issue 1, pp.95-98

Belge Tipi:

Makale

Yayın Tarihi:

5/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000753424

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144