Staging System of Ficarra for Locally Advanced Renal Cell Carcinoma

Ficarra et al proposed a staging system for locally advanced renal cell carcinoma. The authors are from multiple hospitals in Europe.

Parameters:

(1) renal vein thrombosis

(2) invasion of perinephric fat

(3) thrombosis of infradiaphragmatic vena cava

(4) invasion of the ipsilateral adrenal gland

(5) thrombosis of supradiaphragmatic vena cava

(6) invasion of Gerota's fascia

Finding	Proposed T Score	Mean Survival if N0M0
renal vein thrombosis (1)	pT3a	117 months
invasion of perinephric fat (2)	pT3a	98 months
thrombosis of infradiaphragmatic vena cava (3)	pT3a	67 months
invasion of ipsilateral adrenal gland (4)	pT3b	24 months
invasion of perinephric fat AND renal vein thrombosis (1 + 2)	pT3b	24 months
invasion of perinephric fat AND thrombosis of infradiaphragmatic vena cava (2 + 3)	pT3b	24 months
invasion of adrenal gland AND renal vein thrombosis (1 + 4)	pT4	11 months
invasion of adrenal gland AND thrombosis of infradiaphragmatic vena cave (3 + 4)	pT4	11 months
thrombosis of supradiaphragmatic vena cava (5)	pT4	12 months
invasion of Gerota's fascia (6)	pT4	12 months

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