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2020-07-01

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cc-by-nc-nd (c) Picola Brau, Natalia et al., 2020
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/174997

Multiple partial nephrectomy for multifocal synchronous renal cancer in a solitary kidney

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Recurs relacionat

https://doi.org/10.1016/S2666-1683(20)34253-1

Resum

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.

Matèries

Nefrologia, Càncer de ronyó, Malalties vasculars

Matèries (anglès)

Nephrology, Renal cancer, Vascular diseases

Citació

Col·leccions

Articles publicats en revistes (Ciències Clíniques)

Citació

PICOLA BRAU, Natalia, et al. Multiple partial nephrectomy for multifocal synchronous renal cancer in a solitary kidney. European Urology Open Science. 2020. Vol. 19, num. Suppl 2, pags. e2398-e2398. ISSN 2666-1683. [consulted: 17 of August of 2026]. Available at: https://hdl.handle.net/2445/174997

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