PATTERN OF RENAL CELL CARCINOMA IN KHYBER PUKHTUNKHWA
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Abstract
Objectives: To observe the common patterns of renal cell carcinoma in patients presenting with renal mass at the
Institute of Kidney Diseases Hayatabad, Peshawar.
Material and Methods: 32 consecutive patients with renal tumours presenting at the Institute of Kidney Diseases
Hayatabad Peshawar between June 2008 to June 2010 were enrolled and evaluated by history, examination, urine
analysis, Complete Blood Count (CBC), ultrasound and CT-scan abdomen and pelvis. SPSS version 11.0 was used
for the data entry and analysis.
Results: Out of 32 patients, 24 (75%) were male and 8 (25%) female. The age ranged between 18-76 years (Mean age
= 50 years). Ten (31.2%) patients were smokers. The presenting complaints were flank pain, haematuria and
palpable mass in 30 (93.8%), 24 (75%) and 18 (56.3%) cases respectively. The typical triad was present in 50% of
cases. The tumour was occupying upper, middle and lower pole in 4 (12.5%), 4 (12.5%) and 6 (18.6%) cases
respectively. The rest were involving upper middle pole or lower middle pole in 18 (56.3%) cases. In 14 (43.6%) cases
the tumour was solid. The tumour size ranged from 3-20 cm (Mean = 7.4 cm). At presentation, tumor were T1a in
31.34%, T1b in 25%, T2 in 18.6%, T3 in 12.5% and T4 in 12.5% of patients. One patient needed right sided chest
intubation due to pleural injury while two patients had wound infection which was controlled with wound opening,
drainage and oral antibiotics.
Conclusion: Renal cell carcinoma is a lethal tumour. Hence treatment guidelines of international standards need to
be developed locally.
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