Mignogna et al., [16] suggested a role for MDR-1 P-gp as a possible adverse prognostic factor of chemoresistance and aggressive behaviour in renal carcinoma, their study showed an association between high MDR-1 P-gp expression (MDR-1 positivity in 40% or more of tumour cells) and poor survival as confirmed by Cox multivariate analysis. This evidence concerns the gene ABCB1 and neoplasm.