https://doi.org/10.4081/aiua.2023.11723

Endophytic to total tumour volume ratio: An added variable to patients with T1b/T2 renal tumours undergoing partial nephrectomy

Vol. 95 No. 4 (2023)
Submitted: September 6, 2023
Accepted: September 28, 2023
Published: November 21, 2023
RCC, partial nephrectomy, tumour volume
Abstract Views: 453
PDF: 220
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Authors

Asmaa Ismail
Urology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Vahid Mehrnoush
https://orcid.org/0000-0002-1047-7713
Urology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Amer Alaref
https://orcid.org/0000-0002-3521-6747
Radiology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Radu Rozenberg
https://orcid.org/0000-0001-9259-1116
Radiology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Hazem Elmansy
Urology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Walid Shahrour
Urology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Nishigandha Burute
https://orcid.org/0000-0001-5999-8723
Radiology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Anatoly Shuster
Radiology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Owen Prowse
Urology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Ahmed Zakaria
https://orcid.org/0000-0002-4582-9969
Urology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Walid Shabana
Urology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Ahmed Kotb
drahmedfali@gmail.com
https://orcid.org/0000-0002-1484-1332
Urology Department, TBRHSC, Northern Ontario School of Medicine University, Thunder Bay, ON, Canada.

Introduction: Partial nephrectomy is the standard of care to patients with small renal masses. It is still encouraged to larger tumours whenever feasible. The aim of this study is to look for the endophytic to total tumour volume ratio as an added variable to study the complexity of partial nephrectomy to patients with T1b/ T2 renal tumours. Methods: Retrospective data collection of patients that had partial nephrectomy for T1b/T2 renal tumours by a single surgeon was done. Radiological re-assessment for the CT images to measure the endophytic to total tumour volume ratio was done. Results: The mean age of the patients was 63 years. The study included 25 males and 11 females. All cases were managed by open surgery using retroperitoneal transverse lateral lumbotomy and warm ischemia was used in all patients. The mean tumour volume was 74 cc, the mean endophytic tumour volume was 29 cc. The mean percentage of endophytic to total tumour volume was 42%. Conclusions: Partial nephrectomy is safe for most of the patients with good performance status, having large renal masses. More complex surgery can be predicted in patients with endophytic to total tumour volume greater than 42%.

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How to Cite

Ismail, A., Mehrnoush, V., Alaref, A., Rozenberg, R., Elmansy, H., Shahrour, W., Burute, N., Shuster, A., Prowse, O., Zakaria, A., Shabana, W., & Kotb, A. (2023). Endophytic to total tumour volume ratio: An added variable to patients with T1b/T2 renal tumours undergoing partial nephrectomy. Archivio Italiano Di Urologia E Andrologia, 95(4). https://doi.org/10.4081/aiua.2023.11723
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