Characteristics and prognostic value of papillary histologic subtype in nonmetastatic renal cell carcinoma in Korea: A multicenter study

Won Ki Lee, Sang Eun Lee, Sung Kyu Hong, Chang Wook Jeong, Yong Hyun Park, Seok Ho Kang, Yong June Kim, Sung Hoo Hong, Won Suk Choi, Seok Soo Byun

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Purpose: To analyze the characteristics of nonmetastatic papillary renal cell carcinomas (RCC) and the prognostic value of RCC histologic subtyping, based on a large multicenter experience in Korea. Materials and Methods: A total of 2,905 patients with nonmetastatic RCC (TxN0M0) at the time of surgery were retrospectively enrolled from five institutions between 1999 and 2011 in Korea. Among these, patients with clear cell subtype (n = 2,488, 85.6%) and papillary subtype (n = 192, 6.6%) were included in our study. Results: Patients with papillary subtype did not differ significantly from those with clear cell subtype on the following parameters: age (P = .694), gender (P = .511), body mass index (P = .136), patient performance status (P = .419), symptoms at presentation (P = .419), tumor size (P = .778) and pathologic stage (P = .367). However, high Fuhrman's grades were more common in papillary subtypes compared with clear cell subtypes (P = .001). The 5-year recurrence-free survival rates in patients with clear cell subtype and papillary subtype were 84.9% and 86.7%, respectively (P = .167). The 5-year cancer-specific survival rates in patients with clear cell subtype and papillary subtype were 92.0% and 93.1%, respectively (P = .931). Histologic subtype was not an independent prognostic factor of recurrence-free and cancer-specific survival (P = .107 and P = .998, respectively). Conclusion: Our study suggests that the characteristics and prognosis of papillary subtype might be comparable to those of clear cell subtype in non-metastatic RCC, especially in Asia.

Original languageEnglish
Pages (from-to)1884-1890
Number of pages7
JournalUrology Journal
Volume11
Issue number5
Publication statusPublished - 2013

Keywords

  • Carcinoma
  • Follow-up studies
  • Kidney neoplasms
  • Papillary
  • Pathology
  • Prognosis
  • Renal cell
  • Retrospective studies

ASJC Scopus subject areas

  • Urology

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