ARİF DEMİRBAŞ, Onur TELLİ, Mehmet Ali KARAGÖZ, Mücahit KABAR, MUZAFFER EROĞLU, HAŞMET SARICI

Renal kitle tanısıyla nefrektomi yapılan benign lezyonlar

Amaç: Bu çalışmanın amacı, renal kitle tanısı ile radikal veya parsiyel nefrektomi yapılmış ve patoloji sonucu benign olan olguların klinik özelliklerini malign olan olgularla karşılaştırmaktır.Gereç ve Yöntemler: Kliniğimizde Ocak of renal mass with the malignant ones.2001 ile Nisan 2013 tarihleri arasında böbrek tümörü ön tanısı ile cerrahi tedavi yapılmış 406 hasta retrospektif olarak incelendi. Histopatolojik değerlendirmeleri sonucu benign tanısı alan 54 hasta Grup 1 ve malign tanılı 352 hasta grup 2 olarak ayrıldı. Patolojik evrelendirme için 2010 TNM evrelendirme sistemi, histolojik alt tipler için 2004 DSÖ sınıflandırması kullanılmıştır. Tümör boyutu, patolojik spesimenlerden santimetre olarak ölçülen en büyük çap olarak kabul edildi. Tüm hastalar yaş, cinsiyet, tanı anındaki semptomları, multifokalite, tümör çapı ve histolojik alt tip açısından incelenmiştir.Bulgular: Olguların ortalama yaşı benign grupta 58,3+/-5,29 iken malign grupta 63,5+/-8,17 idi. Benign grupta 10 %18 hasta kliniğe belirli şikayetlerle başvurmuşken geri kalan 44 %82 hasta ise rastlantısal olarak saptandı. Malign grupta ise 75 %21 hasta rastlantısal, 277 %79 hasta semptomatik olarak saptandı. Multifokalite Grup 1’de 2 %0,03 hastada, grup 2’de 76 %21 hastada görülmüştür. Tümör çapı grup 1’de ortalama 3.8 cm 0.8-8.7 , grup 2‘de ise 6.4 cm 1.1-14 cm olarak ölçülmüştür. Tanı anında semptomların varlığı, multifokalite ve tümör çapı açısından iki grup arasında istatistiksel anlamlı farklar belirlendi p

Anahtar Kelimeler:

benign lezyonlar, nefrektomi, renal kitle

Benign lesions with diagnosis of renal mass that nephrectomy was performed

Objective: The aim of this study is to compare the clinical features of the patients with a benign pathologic report who underwent radical or partial nephrectomy with a preliminary diagnosis of renal mass with the malignant ones. Material and Methods: Between January 2001 and April 2013, 406 patients who underwent surgery in our clinic with a preliminary diagnosis of renal tumor were evaluated retrospectively. Two groups of 54 patients with a benign diagnosis Group 1 and 352 patients with a malignant diagnosis Group 2 were formed based on histopathological examination results. For pathological staging 2010 TNM staging system and for histological subtype classification 2004 WHO classification were used. The longest diameter from those measured from pathological specimens were presumed as tumor size. All patients were reviewed according to age, sex, symptoms at diagnosis, multifocality, tumor size and histological subtypes. Results: The mean age of the patients was 58.3±5.29 46-58 in the benign group, whereas 63.5±8.17 42-83 in the malignant group. 10 patients in the benign group 18% were while the remaining 44 82% patients were detected incidentally. In the malignant group, 277 79% patients were applied symptomatically and 75 21% patients were detected incidentally. Multifocality was observed in 2 patients in Group 1 0.03% and in 76 patients in group 2 21% . In group 1 and group 2, the mean tumor diameter were 3.8 cm and 6.4 cm respectively. Statistically significant difference was detected in the presence of symptoms at diagnosis, multifocality and tumor size between two groups p

Keywords:

benign lesions, nephrectomy, renal mass,

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