A Case of Primary Ewing Sarcoma of the Kidney: Robotic-Assisted Nephron-Sparing Surgery, a Feasible Alternative in Treatment of Localized Disease.

Autor: Ahmed A; Department of Urology, Varisano Kliniken Frankfurt-Main-Taunus, 65812 Bad Soden, Germany., Zubelic A; Department of Urology, Varisano Kliniken Frankfurt-Main-Taunus, 65812 Bad Soden, Germany., Radovanovic M; Clinic of Urology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia., Stojanoski G; Department of Urology, Varisano Kliniken Frankfurt-Main-Taunus, 65812 Bad Soden, Germany., Aksünger M; Department of Urology, Varisano Kliniken Frankfurt-Main-Taunus, 65812 Bad Soden, Germany.
Jazyk: angličtina
Zdroj: Current oncology (Toronto, Ont.) [Curr Oncol] 2024 Oct 02; Vol. 31 (10), pp. 5943-5948. Date of Electronic Publication: 2024 Oct 02.
DOI: 10.3390/curroncol31100443
Abstrakt: Extra-skeletal Ewing sarcoma (EWS) occurs in about 12% of EWS patients; at the same time, primary involvement of the kidneys remains extremely rare. Since it was first described in 1975, only a small case series have been reported worldwide. About 95% of surgically treated patients with EWS of the kidney described in the literature underwent nephrectomy, and the remaining patients only had a tumor biopsy. Nephron-sparing surgery (NSS) has not been sufficiently investigated as an alternative in the local surgical treatment of localized disease, mostly as a result of technically unfeasible provisions of negative surgical margins. In this report, we present a unique case of primary EWS of the kidney with an asymptomatic course without radiographic signs that suggest a highly aggressive disease, successfully locally treated with robotic-assisted NSS. This report showcases that robotic-assisted NSS could be a feasible alternative in treatment of localized disease yielding equally good oncological results while, at the same time, creating better prerequisites for necessary adjuvant chemotherapy.
Databáze: MEDLINE
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