Abstract:Objective:To observe the differential expression of epithelial membrane antigen (EMA) and renal cell carcinoma marker (RCC-Ma) in early renal carcinoma and corresponding adjacent (0.5, 1.0, and 2.0 cm) tissues, so as to estimate the safe margin of laparoscopic partial nephrectomy for renal tumors.Methods:Tissue microarrys, including 44 tissues of clear cell renal cell carcinoma[A] and normal renal cortex tissues of different distances to the tumor:0.5 cm[B],1.0 cm[C] and 2.0 cm[D], were constructed.The expression of EMA and RCC-Ma was examined by immunohistochemical staining in the four groups. Results:Intensive membranous and(or) cytoplasmic staining of EMA and RCC-Ma was observed in the cancer and adjacent tissues. The positive rate in group A was significantly higher than those of the other three groups(A \[15.91%/18.18%\],B\[84.09%/79.55%\],C\[86.36%/77.27%\] and D\[79.55%/75.00%\], P<0.01).The positive rates of EMA and RCC-Ma expression were not significantly different between the group B, C, and D(P>0.05).Conclusion:Our data denote that, when laparoscopic partial nephrectomy is done for early renal carcinoma, at least 5 mm of normal parenchyma tissue beyond the pesudocapsule should be excised with the tumor.