Estadísticas

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      "titulo" => "Recidiva local del tumor renal"
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          "autoresLista" => "Emilio García Galisteo, P. Morales Jiménez, D. Hernández Alcaraz, Víctor Baena González"
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        "resumen" => "La extirpaci&#243;n completa de lesiones metast&#225;sicas pueden contribuir a mejorar el pron&#243;stico cl&#237;nico del c&#225;ncer renal&#46;Hoy en d&#237;a&#44; se acepta que la extirpaci&#243;n quir&#250;rgica de las met&#225;stasis solitarias para los pacientes con c&#225;ncer renal es la&#250;nica posibilidad de supervivencia a largo plazo&#46; Siempre que las met&#225;stasis puedan ser t&#233;cnica y funcionalmente resecadas&#46;Esta revisi&#243;n se refiere a la evidencia actual sobre met&#225;stasis resecables del c&#225;ncer renal a nivel de pulm&#243;n&#44; h&#237;gado&#44;hueso&#44; ri&#241;&#243;n y otros &#243;rganos&#46; <br />Los criterios para considerar a un paciente como candidato a la resecci&#243;n de met&#225;stasis son&#58; control de tumor primario&#44;extirpaci&#243;n quir&#250;rgica de viabilidad y la falta de enfermedad sist&#233;mica&#46; En pacientes con met&#225;stasis sincr&#243;nicas&#44; laextirpaci&#243;n quir&#250;rgica debe realizarse al mismo tiempo que la nefrectom&#237;a&#46; El pron&#243;stico cl&#237;nico es peor cuando las met&#225;stasisson as&#237;ncronas&#46; Tras la introducci&#243;n de las nuevos agentes anti-angiog&#233;nicos&#44; tambi&#233;n se justifica la cirug&#237;a enpacientes con buena respuesta&#46; Si bien&#44; este enfoque sigue estando en el &#225;mbito de la investigaci&#243;n&#46;"
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        "resumen" => "Complete removal of metastatic lesions can contribute to improve clinical prognosis of renal c&#225;ncer&#46; Nowadays&#44; it isaccepted that surgical extirpation of solitary metastases for patients with renal cancer is the only potential for long-termsurvival&#46; Provided that the metastases could be technical and functionally resected&#46; This review addresses the current evidenceabout resecable renal cancer metastases at lung&#44; liver&#44; bone&#44; kidney and other organs&#46; <br />The criteria to consider a patient as candidate for resection of metastases are&#58; control of primary tumor&#44; surgical extirpationfeasibility and lack of systemic disease&#46; In patients with synchronous metastases&#44; the surgical extirpation should beperformed at the same time than nephrectomy&#46; The clinical prognosis is worse when metastases are asynchronous&#46; Afterthe introduction of novel anti-angiogenic agents&#44; surgery is also justified in patients with good responses&#46; Although&#44; thisapproach remains in the field of investigation&#46;"
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