Determination of safe margin of laparoscopic partial nephrectomy for early renal carcinoma
CSTR:
Author:
Affiliation:

Clc Number:

Fund Project:

Supported by Fund of Health Department of Science Committee of Shanghai Municipal Government(074119618).

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Cited by
  • |
  • Materials
  • |
  • Comments
    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.

    Reference
    Related
    Cited by
Related Videos

Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
History
  • Received:November 21,2008
  • Revised:January 04,2009
  • Adopted:March 24,2009
  • Online: June 18,2009
  • Published:
Article QR Code