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[Multifocal renal carcinoma]

V Montserrat Orri1, M Ordis Dalmau, N Torrent Quer

  • 1Servicio de Urología, Hopital Josep Trueta, Girona, España.

Archivos Espanoles De Urologia
|November 1, 1996
PubMed
Summary
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Multifocal renal carcinoma, where more than one tumor exists in a kidney, occurred in 18% of patients. This finding supports radical surgery for renal tumors to minimize recurrence risk.

Area of Science:

  • Urology
  • Oncology
  • Pathology

Context:

  • Renal carcinoma presents diagnostic and therapeutic challenges.
  • Understanding tumor multifocality is crucial for surgical planning.

Purpose:

  • To determine the incidence of multifocal renal carcinoma in surgical specimens.
  • To inform surgical decision-making for renal tumors.

Summary:

  • A retrospective analysis of 50 renal carcinoma surgical specimens revealed multifocality in 18% (9 of 50).
  • The observed incidence aligns with reported ranges (6%-30%), indicating a significant potential for multiple lesions per kidney.

Impact:

  • Highlights the risk of tumor recurrence with conservative surgery for multifocal renal carcinoma.

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  • Supports radical nephrectomy as the preferred approach, except in specific clinical scenarios like solitary kidneys or bilateral tumors.