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[A partial nephrectomy in renal cell carcinoma].

F Masuda1, H Suzuki, H Kurauchi

  • 1Dept. of Urology, Daisan Hospital, Jikei Univ. School of Med.

Gan No Rinsho. Japan Journal of Cancer Clinics
|August 1, 1989
PubMed
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Partial nephrectomy is recommended for selected renal cell carcinoma cases, even with a healthy contralateral kidney. This approach is suitable for incidentally detected, localized small tumors.

Area of Science:

  • Urology
  • Oncology

Background:

  • Renal cell carcinoma (RCC) management often involves nephrectomy for localized tumors.
  • Partial nephrectomy preserves renal function compared to radical nephrectomy.

Observation:

  • Two patients with incidentally detected, localized small renal cell carcinoma (RCC) underwent partial nephrectomy.
  • Tumor size was 1.8 x 1.7 cm in both cases, with stage pT2aN0M0 (Stage I).
  • Histologic grading differed (Grade 1 vs. Grade 2), yet both were localized small tumors.

Findings:

  • Partial nephrectomy was successfully performed for small, localized RCC in both patients.
  • The procedure was feasible despite variations in histologic grade.

Implications:

  • Consider partial nephrectomy for selected small, localized renal cell carcinoma cases, even when the contralateral kidney is normal.

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  • This organ-sparing approach may be beneficial beyond solitary or bilateral RCC scenarios.
  • Further investigation into criteria for selecting such cases is warranted.