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Site and distribution of sentinel lymph nodes in renal cell carcinoma. A diagnostic study.

Conditions
kidney tumour
renal cell carcinoma
10038364
10038430
Registration Number
NL-OMON33464
Lead Sponsor
Antoni van Leeuwenhoek Ziekenhuis
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
40
Inclusion Criteria

1. Localized parenchymal tumor of the kidney not exceeding 10 cm (cT1-cT3)
2. No metastatic disease on imaging and clinical examination (cN0, cM0)
3. Age: 18 years and older
4. Life expectancy > 3 months
5. WHO performance status 0 or 1 and fit for surgery
6. Written informed consent obtained from the patient after having been informed about the objectives of the study and the medication used.
7. No prior systemic treatment with biological response modifiers, tyrosine-kinase inhibitors, monoclonal antibodies or chemotherapy.

Exclusion Criteria

1. Parenchymal kidney tumor larger than 10 cm
2. Clinically metastatic disease or at imaging
3. Patients in whom surgery is no option due to comorbidity
4. Current cardiovascular disease, hematopoetic, pulmonary, hepatic or renal dysfunction or WHO performance status > 1.
5. Previous immunotherapy, therapy with tyrosine-kinase inhibitors, monoclonal antibodies or chemotherapy.
6. Corticosteroid and/ or other immunosuppressive therapies.
7. Prior malignancies. In case of NED the period should be > 5 years.
8. Preganancy.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>*Main endpoint: Lymphatic drainage not localized locoregional<br /><br>retroperitoneally.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>*Secondary endpoints: Intra-operative mapping and detection, activation or<br /><br>downregulation of immune cells in sentinel nodes, cancer specific survival and<br /><br>morbidity, complication rate of surgery, sensitivity of the technique and stage<br /><br>migration.</p><br>
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