Comparison of oncologic outcomes between partial nephrectomy and radical nephrectomy in patients who were upstaged from cT1 renal tumor to pT3a renal cell carcinoma: an updated systematic review and meta-analysis.
Doo Yong ChungDong Hyuk KangJong Won KimDo Kyung KimJoo Yong LeeKang Su ChoPublished in: Therapeutic advances in urology (2020)
Our meta-analysis shows that patients treated with PNx have better or at least similar oncological outcomes compared with RNx in patients with upstaged pT3a RCCa from cT1. In particular, patients who had undergone PNx show a significantly improved OS. If PNx is available, we recommend performing PNx for all cT1 RCCa, even in patients with upstaging potential. However, due to the low level of evidence, large-scale randomized trials are required.
Keyphrases
- image quality
- dual energy
- computed tomography
- contrast enhanced
- systematic review
- robot assisted
- renal cell carcinoma
- rectal cancer
- positron emission tomography
- radical prostatectomy
- magnetic resonance imaging
- prostate cancer
- randomized controlled trial
- type diabetes
- meta analyses
- weight loss
- human health
- glycemic control