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Title: Multiple partial nephrectomy for multifocal synchronous renal cancer in a solitary kidney
Author: Picola Brau, Natalia
Rivero Belenchón, Inés
Mercader Barrull, Clàudia
Benfante, Nicole E.
Vigués i Julià, Francesc
Apatov, Sarah
Russo, Paul
Coleman, Jonathan A.
Touijer, Karim A.
Keywords: Nefrologia
Càncer de ronyó
Malalties vasculars
Renal cancer
Vascular diseases
Issue Date: 1-Jul-2020
Publisher: Elsevier
Abstract: 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.
Note: Reproducció del document publicat a:
It is part of: European Urology Open Science, 2020, vol. 19, num. Suppl 2, p. e2398-e2398
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ISSN: 2666-1683
Appears in Collections:Articles publicats en revistes (Ciències Clíniques)

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