Skip to main content

Advertisement

SpringerLink
Log in

Rational approach to the treatment of a patient with a small renal cortical tumor

  • Case Study
  • Published:

From Nature Clinical Practice Urology

View current issue Sign up to alerts

Abstract

Background A 64-year-old man with a history of hypertension and type II diabetes mellitus presented to his primary care physician for his annual health examination. Renal ultrasonography revealed a solid right renal mass, which was confirmed by MRI. The initial consultant recommended laparoscopic radical nephrectomy. The patient sought a second opinion.

Investigations Physical examination, baseline serum creatinine level, urine cytology, CT urogram and renal ultrasonography.

Diagnosis Centrally located subcortical tumor arising from the renal parenchyma.

Management Open partial nephrectomy. There were no intraoperative complications and the patient's postoperative course was uneventful.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1: Baseline imaging studies.
Figure 2: Pathological analysis of the carcinoid.

References

  1. Russo P (2000) Renal cell carcinoma: presentation, staging, and surgical treatment. Semin Oncol 27: 160–176

    CAS  PubMed  Google Scholar 

  2. Jemal A et al. (2006) Cancer statistics, 2006. CA Cancer J Clin 56: 106–130

    Article  Google Scholar 

  3. Russo P (2006) Open partial nephrectomy: an essential contemporary operation. Nat Clin Pract Urol 3: 2–3

    Article  Google Scholar 

  4. Frank I et al. (2003) Solid renal tumors: an analysis of pathological features related to tumor size. J Urol 170: 2217–2220

    Article  Google Scholar 

  5. McKiernan J et al. (2002) Partial nephrectomy for renal cortical tumors: pathologic findings and impact on outcome. Urology 60: 1003–1009

    Article  Google Scholar 

  6. Dechet CB et al. (2003) Prospective analysis of computerized tomography and needle biopsy with permanent sectioning to determine the nature of solid renal masses in adults. J Urol 169: 71–74

    Article  Google Scholar 

  7. Lee CT et al. (2000) Surgical management of renal tumors 4 cm or less in a contemporary cohort. J Urol 163: 730–736

    Article  CAS  Google Scholar 

  8. Kattan MW et al. (2001) A postoperative prognostic nomogram for renal cell carcinoma. J Urol 166: 63–67

    Article  CAS  Google Scholar 

  9. Gill IS et al. (2003) Comparative analysis of laparoscopic versus open partial nephrectomy for renal tumors in 200 patients. J Urol 170: 64–68

    Article  Google Scholar 

  10. Ray ER et al. (2006) Open partial nephrectomy: outcomes from two UK centres. BJU Int 97: 1211–1215

    Article  Google Scholar 

  11. Hollingsworth JM et al. (2006) Rising incidence of small renal masses: a need to reassess treatment effect. J Natl Cancer Inst 98: 1331–1334

    Article  Google Scholar 

  12. Go AS et al. (2004) Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med 351: 1296–1305

    Article  CAS  Google Scholar 

  13. Huang WC et al. (2006) Chronic kidney disease after nephrectomy in patients with renal cortical tumors: a retrospective cohort study. Lancet Oncol 7: 735–740

    Article  Google Scholar 

  14. Hollenbeck BK et al. (2006) National utilization trends of partial nephrectomy for renal cell carcinoma: a case of underutilization. Urology 67: 254–259

    Article  Google Scholar 

  15. Nuttall M et al. (2005) A description of radical nephrectomy practice and outcomes in England: 1995–2002. BJU Int 96: 58–61

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. and a former Fellow in Urologic Oncology at Memorial Sloan–Kettering Cancer Center. P Russo is an Attending Surgeon and Professor at the Department of Surgery, WC Huang is an Assistant Professor in Urology at New York University Medical Center, Urology Service, Memorial Sloan–Kettering Cancer Center, Weill Cornell College of Medicine, New York, NY, USA.,

    William C Huang & Paul Russo

Authors
  1. William C Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Paul Russo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Paul Russo.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Huang, W., Russo, P. Rational approach to the treatment of a patient with a small renal cortical tumor. Nat Rev Urol 4, 688–691 (2007). https://doi.org/10.1038/ncpuro0970

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ncpuro0970

  • Springer Nature Limited

This article is cited by

Search

Navigation