Significance of XXXX at diagnosis of @entity3969 .

@entity1143 @entity1 @entity5 @entity703 @entity843 @entity3969 @entity34
BACKGROUND: @entity1143 is uncommon at diagnosis of @entity3969 . Because the clinical significance of this finding has not been reported, a retrospective review of this entity was conducted. PROCEDURE: The radiology reports and medical records of 233 @entity1 with @entity3969 who were treated at St. Jude @entity1 's Research Hospital between 1985 and 2001 were reviewed. RESULTS: Ten of the 233 @entity1 (4.3%) had @entity1143 detected on pre-nephrectomy imaging studies. Computed tomography (CT) scans were more sensitive than chest X-rays in identifying @entity1143 . All of the @entity1 with @entity1143 had @entity5 of favorable histology. Two @entity1 had @entity34 , five had stage III disease, two had stage IV disease, and one had stage V (bilateral) disease. All of the effusions occurred on the same side as the primary @entity703 and six effusions were associated with @entity843 . The two effusions that were tapped were negative for @entity5 cells. All 10 @entity1 in our series were alive without recurrence with a median follow-up duration of 68 months, yet only two @entity1 were treated with lung irradiation. CONCLUSION: @entity1143 at presentation of @entity3969 is uncommon and not associated with adverse prognosis. We recommend that @entity1143 be tapped whenever feasible if the results will change therapy. @entity1 with @entity1143 that are small and difficult to tap may be treated according to their local stage without pulmonary irradiation. Further analysis of @entity1143 in a larger group of @entity1 is necessary to confirm our preliminary observations.
