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Related Experiment Videos

Bilateral renal-cell carcinomas.

F W Wright

    Radiology
    |June 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Bilateral renal masses, including renal-cell carcinomas and angiomyoliposarcomas, may be more common than previously believed. Bilateral renal angiography is recommended for diagnosing renal masses.

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    Area of Science:

    • Nephrology
    • Oncology
    • Surgical Pathology

    Background:

    • Bilateral renal masses are uncommon but can present diagnostic and therapeutic challenges.
    • Previous literature has not extensively detailed the incidence or management of bilateral renal-cell carcinomas and angiomyoliposarcomas.

    Purpose of the Study:

    • To report the incidence of bilateral renal-cell carcinomas and angiomyoliposarcomas over a 16-year period.
    • To highlight the utility of the "workbench" surgical technique for unilateral kidney autotransplantation.
    • To emphasize the importance of bilateral renal angiography in the diagnostic workup of renal masses.

    Main Methods:

    • Retrospective review of 5 cases of bilateral renal-cell carcinomas and 1 case of possible bilateral angiomyoliposarcomas over 16 years.

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  • Description of a "workbench" surgical technique involving tumor dissection and autograft reinsertion of one kidney.
  • Review of diagnostic imaging protocols, including renal angiography.

    • Main Results:

    • Five cases of bilateral renal-cell carcinomas and one case of possible bilateral angiomyoliposarcomas were identified over 16 years.
    • One patient successfully underwent nephrectomy with "workbench" autotransplantation for a unilateral renal tumor.
    • Bilateral renal angiography was crucial in the diagnosis and management of these cases.

    Conclusions:

    • The observed incidence suggests bilateral renal-cell carcinomas and angiomyoliposarcomas may be more frequent than previously recognized.
    • The "workbench" technique is a viable surgical option for managing selected unilateral renal tumors.
    • Bilateral renal angiography is essential for comprehensive evaluation of renal masses.