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Bilateral synchronous renal cancer.

N Yashiro, Y Itai, M Iio

    Radiation Medicine
    |April 1, 1984
    PubMed
    Summary

    Concurrent bilateral renal cancer is rare, accounting for 3.7% of cases. Early detection with CT scans aids in identifying small tumors for conservative surgery, improving patient prognosis.

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    Area of Science:

    • Urology
    • Oncology
    • Radiology

    Background:

    • Concurrent bilateral renal cancer is an uncommon presentation.
    • This study reports on six such cases encountered between 1965 and 1983.

    Purpose of the Study:

    • To analyze the clinical presentation, diagnostic methods, and outcomes of concurrent bilateral renal cancer.
    • To evaluate the role of imaging modalities like CT and angiography in diagnosis and treatment planning.

    Main Methods:

    • Retrospective review of six cases of concurrent bilateral renal cancer.
    • Analysis of diagnostic imaging including computed tomography (CT) and selective renal arteriography.
    • Correlation of initial presentation, treatment, and patient prognosis.

    Main Results:

    • Concurrent bilateral renal cancer represented 3.7% of all renal cancers in the study period.
    • CT identified smaller, early-stage tumors, facilitating conservative management.
    • Patients with extrarenal metastases had poor prognoses; those without had better outcomes.
    • Successful outcomes were achieved with unilateral nephrectomy, chemotherapy, and embolization techniques.

    Conclusions:

    • CT is crucial for detecting small, asymptomatic bilateral renal tumors, enabling conservative surgical approaches.
    • Angiography is essential for planning embolization and partial nephrectomy procedures.
    • The origin of bilateral tumors (multicentric vs. metastatic) remains challenging to definitively determine.

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