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Correspondence
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Volume 346:1095-1096 April 4, 2002 Number 14
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Nephrectomy for Metastatic Renal-Cell Cancer

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To the Editor: Flanigan et al. (Dec. 6 issue)1 provide evidence that nephrectomy can prolong survival in patients with metastatic renal-cell cancer who are treated with interferon alfa-2b. Although various mechanisms for the survival benefit can be postulated, one possibility not mentioned by the authors or the editorialist2 is that some of the patients in the trial actually had localized, rather than metastatic, disease. Such patients would have had radiologic findings consistent with the presence of metastases, but the results of histologic examination would show that they were not metastatic lesions at all.

It would be valuable to know what . . . [Full Text of this Article]

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