Prediction of Pulmonary Metastasis in Renal Cell Carcinoma Patients with Indeterminate Pulmonary Nodules
Prediction of Pulmonary Metastasis in Renal Cell Carcinoma Patients with Indeterminate Pulmonary Nodules
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DOI：
10.1016/j.eururo.2015.08.053
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发表时间：
2016-02-01
期刊：
影响因子：
23.4
通讯作者：
Wood, Christopher G.
中科院分区：
文献类型：
--
作者：
Adibi, Mehrad;Kenney, Patrick A.;Wood, Christopher G.
背景：不明肺结节(IPN)在肾癌患者中具有不确定的意义。目的：我们试图确定IPN进展为肺转移的预测因素，并开发一种工具，用于在局限性或局部晚期肾癌患者的术前胸部影像中对IPN患者进行个体化风险分层。设计、地点和参与者：我们回顾了2005-2009年间在一家机构接受根治性肾切除术但没有远处转移证据的所有患者，这些患者胸部计算机断层扫描显示&>1个IPN。
Background: Indeterminate pulmonary nodules (IPN) are of uncertain significance in patients with renal cell carcinoma.Objective: We sought to determine predictors of IPN progression to pulmonary metastasis and develop a tool for individualized risk stratification of patients who present with IPN on preoperative chest imaging in the setting of localized or locally advanced renal cell carcinoma.Design, setting, and participants: We reviewed all patients who had radical nephrectomy with no evidence of distant metastases at a single institution from 2005-2009 who had >= 1 IPN on chest computed tomography that measured