Research Article

Growth Pattern of Clear Cell Renal Cell Carcinoma in Patients with Delayed Surgical Intervention: Fast Growth Rate Correlates with High Grade and May Result in Poor Prognosis

Table 3

Published series on the natural history of renal masses.

YearPatients/lesions ()Mean age (years)Mean initial MTD (cm)Mean follow-up (months)Mean LGR (cm/year)Mean VGR
(cm3/year)
Progression to metastasis, (%)Pathologic RCC

Fujimoto et al. [10]19956/659.72.47240.479.70 (0)5/5
Bosniak et al. [11]199537/4065.51.73390.365.260 (0)22/26
Oda et al. [12]200316/1654a2.0a250.54a0 (0)16/16*
Volpe et al. [7]200429/3271a2.4827.90.13.80 (0)8/9
Wehle et al. [13]200429/29701.83320.120 (0)3/4
Kato et al. [5]200418/1856.52.0270.424.40 (0)18/18*
Lamb et al. [14]200436/3676.17.227.70.391 (2.8)23/24
Chawla et al. [15]200649/61712.97360.21 (1.6)16/21
Youssif et al. [16]200735/4471.82.247.60.212.72 (5.7)6/8
Kouba et al. [17]200743/46672.9232.80.70 (0)12/14
Siu et al. [18]200741/47682.0290.271 (2.4)10/16
Fernando et al. [19]200713/1380.45.0138.380.1711.971 (7.7)0
Matsuzaki et al. [20]200715/15672.2380.060.670 (0)3/3
Lee et al. [8]200830/3065.52.612.60.5919.13 (10.0)30/30*
Beisland et al. [21]200963/6576.34.3330.662 (3.2)15/18
Crispen et al. [22]2009154/173692.45310.28517.02 (1.3)52/61
Rosales et al. [23]2010212/22371a2.8a35a0.34a4 (1.9)32/40
Hwang et al. [24]201056/5864.32.1220.211.90 (0)10/15
Jewett et al. [25]2011127/151732.1280.131 (0.7)37/46
Li et al. [4]201232/3252.22.14460.80 (0)32/32*
Mehrazin et al. [26]201468/7268.95.338.90.440 (0)16/23
Brunocilla et al. [27]201462/64752.091.50.44.61 (1.6)14/16

Total1171/127169.52.8234.60.339.4819 (1.6)380/444
This study60/61552.3239.460.8620.961 (1.6)61/61

Median.
—: not stated
All cases received delayed surgical intervention and were confirmed to be renal cell carcinoma (RCC) pathologically.