Is there a role of the histologic subtypes of papillary renal cell carcinoma as a prognostic factor?

Jpn J Clin Oncol. 2009 Oct;39(10):664-70. doi: 10.1093/jjco/hyp075. Epub 2009 Jul 8.

Abstract

Objective: The aim of this study was to compare type 1 and type 2 papillary renal cell carcinoma (RCC) for validating this subclassification as a prognostic factor.

Methods: A total of 70 patients with chromophobe RCC were included in the analysis. Patients with papillary RCC were categorized into type 1 (n = 33) and type 2 (n = 37).

Results: The median progression-free survival was 31.0 months for the type 1 group and 12.0 months for the type 2 group (P = 0.001). The median cancer-specific survival was 41.1 months for the type 1 group and 24.0 months for the type 2 group (P = 0.097). Multivariate Cox proportional hazards model for patients with papillary RCC showed that no variables including histologic subtyping were independent predictors of progression-free and cancer-specific survival.

Conclusions: In the present study, the type of papillary RCC does not reach independent prognostic significance.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma, Renal Cell / pathology*
  • Disease-Free Survival
  • Female
  • Humans
  • Kidney Neoplasms / pathology*
  • Male
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Survival Analysis