Principais causas de nefrectomias em amostras analisadas em um laboratório de patologia hospitalar

Abstract

Objective: To evaluate which of the most prevalent oral pathologies required nephrectomy. Methods: With a cross-sectional, quantitative, observational, descriptive and analytical nature, this study was carried out with double typing analysis of information obtained through pathological reports and medical records, from January 2000 to December 2015 available at the Pathology Laboratory of hospital São Vicente de Paulo de Passo Fundo - RS. Results: A total of 533 patients who underwent some surgical procedure involving the kidney were included, the most prevalent demographic profile was male with 55.8% of the cases, with the age group 45 to 74 years representing 65.3%, the mean age of 52.8 years (± 18.1). Among the procedures performed, radical nephrectomy was the choice in 41.4% of the times, with a similar distribution between the left and right kidney, 42.6% and 40.3%, respectively. The main diagnosis found was that of neoplasia of histological subtype clear cell carcinoma, being male 1.6 times more prone to the development of the disease. Conclusions: The proposal of the present study was concluded, bringing an overview of the main oral pathologies that required invasive surgical treatment. Neoplastic diseases represented the major cause of nephrectomy, with clear cell carcinoma as the main histological subtype. Knowledge of the diseases that may require nephrectomy is relevant in order to obtain greater predictability, for an earlier diagnosis and a less invasive approach whenever possible.