Multiple partial nephrectomy for multifocal synchronous renal cancer in a solitary kidney
| Autor: | Paul Russo, Nicole Benfante, S. Apatov, Jonathan A. Coleman, Francesc Vigués Julià, Natalia Picola Brau, Inés Rivero Belenchón, Karim Touijer, Claudia Mercader Barrull |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Urology Solitary kidney medicine.medical_treatment Cancer lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease urologic and male genital diseases lcsh:RC254-282 Malalties vasculars Nephrectomy Càncer de ronyó Nefrologia Renal cancer Nephrology Medicine business Vascular diseases |
| Zdroj: | Dipòsit Digital de la UB Universidad de Barcelona European Urology Open Science, Vol 19, Iss, Pp e2398-(2020) |
| Popis: | Introduction & Objectives: multifocal synchronous renal cancer on a solitary kidney represent a challenging clinical scenario. The complexity of imperative nephron-sparring surgery in this setting resides in ensuring complete excision of cancer with the maximal preservation of renal function. We aim to present a case of multiple partial nephrectomy (MPN) for multifocal synchronous renal cancer in a patient with a solitary kidney and discuss our experience of imperative partial in this setting. Materials & Methods: We present a case of a 76 years old man with a past medical history of hypertension, chronic obstructive pulmonary disease, peripheral vascular disease, left radical nephrectomy for renal mass (2006) and a right renal artery stent placement for renal artery stenosis. During his surveillance, computerized axial tomography (CAT) scan showed 3 enhancing renal masses (2.2cm, 1.5cm and 1cm, respectively). Biopsy of the largest mass was consistent in clear cell renal cell carcinoma (ccRCC). Preoperative level of creatinine was 1.4mg/dL and estimated glomerular filtration rate (eGFR) 50ml/min/1,73m2. After ablative therapy was deemed unsafe, a MPN was planned. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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