Metachronous bilateral renal cancer and its surgical management.
DOI:
https://doi.org/10.54212/27068048.v8i1.32Keywords:
Renal cancer, Clear cell carcinoma, partial nephrectomy, case reportAbstract
Objective: To present the case from a male patient that was brought under a radical right nephrectomy in the year 2014 who presented a contralateral relapse five years later.
Background: The relapse of renal cancer is unusual (2.5%), but its early diagnosis its very useful since the most efficient treatment is the Cytoreductive surgery. The contralateral kidney relapse is also infrequent (1.2%). The description of this kind of cases are scarce, we present image studies and pathology results.
Materials and Methods: We report a case, image studies and clinical photographs from a patient with contralateral metachronous clear cell carcinoma handled in the urology service from de Guatemalan social security institute. We performed a partial nephrectomy as the tumor characteristics viewed in the image studies allowed it.
Results: The pathology result evidence clear cell carcinoma histological grade 3 kidney limited, borders free, parenchyma and perirrenal fat free of lesion. The patient underwent a good post-surgery evolution.
Conclusion: The partial nephrectomy is a good option in nephron sparing surgery. It is necessary to keep a routine follow up to all the patients with any oncological diagnosis with periodic radiology studies. patients
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Uzzo, R. G., & Novick, A. C. Nephron Sparing Surgery For Renal Tumors: Indications, Techniques And Outcomes. J. Urol, 2001; 166(1), 6-18. https://doi.org/10.1016/S0022-5347(05)66066-1 DOI: https://doi.org/10.1016/S0022-5347(05)66066-1
Tsui KH, van Ophoven A, Shvarts O, Belldegrun A. Nephron-sparing surgery for renal cell carcinoma. Rev Urol. 1999;1(4):216‐225.
Maroni P, Moss J. Nephron-sparing surgery. Semin Intervent Radiol. 2014;31(1):104‐106. https://doi.org/10.1055/s-0033-1363851 DOI: https://doi.org/10.1055/s-0033-1363851
Dabestani, S. et al. "Non-metastatic renal cell carcinoma follow-up, recurrences and outcomes - a RECUR database analysis", Euro. Urol. 2017 Supplements, Volume 16, Issue 3, e1119 - e1120. https://doi.org/10.1016/S1569-9056(17)30702-9 DOI: https://doi.org/10.1016/S1569-9056(17)30702-9
Banihani, A., et Al. "Associations With Contralateral Recurrence Following Nephrectomy For Renal Cell Carcinoma Using A Cohort Of 2,352 Patients". J. Uro. 2005; 173(2), 391-394 https://doi.org/10.1097/01.ju.0000148951.71353.8b DOI: https://doi.org/10.1097/01.ju.0000148951.71353.8b
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Copyright (c) 2020 Manuel Alejandro Peláez Coronado, Erick Stanley Petersen Juárez, Javier Alejandro Brañas
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