[Localized and locally advanced renal cell carcinoma: method of outcome prognosis]

Basing on the long-term results of nephrectomy in 180 patients with renal cell carcinoma, the detailed assessment has been made of implications of a number of factors in 5-year survival and contribution of these factors to the disease outcome. The author proposes a method of prognosticating the disease outcome in patients with localized and locally advanced renal carcinoma which enables specification of the existing international classification and more precise prognosis of the disease. At stages T2, T3 and T4, 5-year survival reached in the subgroups with good prognosis 74.1, 100, and 30.8% of patients, respectively; with poor prognosis 7.1, 5.3, and 0%, respectively. Prognostic subgroup of the patient should be considered in the design of the treatment scheme.