DOI: http://dx.doi.org/10.18203/2349-2902.isj20202431

Bilateral renal cell carcinoma operated as right radical nephrectomy and left partial nephrectomy with histopathologically confirmed R0 resection

Syed Aadil Shadaab Andrabi, Syed Mushtaq Ahmad Shah

Abstract


Bilateral renal tumors remain relatively uncommon, accounting for 1-5% of patients with renal cell carcinoma. Most sporadic renal cell carcinomas are unilateral and unifocal. Bilateral involvement can be synchronous or asynchronous and is found in 2-4% of sporadic renal cell carcinomas. We report a case of 70 years old male who was incidentally found to have bilateral renal masses. Right sided radical nephrectomy and left partial nephrectomy was performed. Histopathological examination of the specimen revealed clear cell carcinoma and confirmed R0 resection. The patient was discharged on 7th postoperative day.


Keywords


Bilateral, Radical nephrectomy, Lymphadenectomy, Oncologic outcome, Renal function

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References


Grimaldi G, Reuter V, Russo P. Bilateral non-familial renal cell carcinoma. Ann Surg Oncol. 1998;5(6):548-52.

Blute ML, Amling CL, Bryant SC, Zincke H. Management and extended outcome of patients with synchronous bilateral solid renal neoplasms in the absence of von Hippel-Lindau disease. Mayo Clin Proc. 2000;75(10):1020-6.

Silverman SG, Israel GM, Herts BR. management of the incidental renal mass. Radiology. 2008;249:16-31.

Robson CJ, Churchill BM, Anderson W. The results of radical nephrectomy for renal cell carcinoma. J Urol. 1969;101:297-301.

Booth J, Matin SF, Ahrar K. Contemporary strategies for treating non-hereditary bilateral synchronous renal tumours and the impact of minimally invasive, nephron-sparing techniques. Urol Oncol. 2008;26:37-42.

Nguyen CT, Lane BR, Kaouk JH. Surgical salvage of renal cell carcinoma recurrence after thermal ablative therapy. J Urol. 2008b;180:104-9.

Parsons JK, Schoenberg MS, Carter HB. Incidental renal tumors: casting doubt on the efficacy of early intervention. Urology. 2001;57(6):1013-5.

Tsui KH, Shvarts O, Barbaric Z, Figlin R, Kernion JB, Belldegrun A. Is adrenalectomy a necessary component of radical nephrectomy? UCLA experience with 511 radical nephrectomies. J Urol. 2000;163(2):437-41.

Pantuck AJ, Zisman A, Dorey F. Renal cell carcinoma with retroperitoneal lymph nodes: role of lymph node dissection. J Urol. 2003;169(6):2076-83.

Novick AC. Renal-sparing surgery for renal cell carcinoma. Urol Clin North Am. 1993;20(2):277-82.

Russo P, Goetzl M, Simmons R, Katz J, Motzer R, Reuter V. Partial nephrectomy: the rationale for expanding the indications. Ann Surg Oncol. 2002;9(7):680-7.