Prediction factors in surgical treatment of intragrawn kidney cancer metastasis

Background . The incidence of distant metastases intrathoracic localization in kidney cancer, including lymph nodes, makes the problem identifying and introducing knowledge about prognostic factors into clinical practice when using surgical treatment this disease urgent. Aim To identify renal cancer. Materials methods In work, a retrospective analysis was carried out group 100 patients with cancer metastases, almost who underwent form removal metastases. We analyzed clinically significant associated prevalence tumor process lungs, which could affect long-term results treatment, as well influence various instrumental research on frequency detection lesions. addition, choice approach volume surgery survival analyzed. Results 40 (40 %) had synchronous 60 (60 metachronous lung 63 (63 open 36 (36 – thoracoscopic surgery, 1 (1 patient transdiaphragmatic resection. 70 (70 atypical resections. 5-year overall 53.4 %, progression-free 43.1 %. There no postoperative mortality grade 3–4 morbidity. Following were an during single-factor analysis: bilateral lesions (р <0.0001), R0 resection = 0.002), Munich scale 0.007). Only lesion multifactor 0.001). Conclusions Removal can lead to number patients. Achieving is main goal treatment.