Abstract
We present a 67 year-old female patient with twosynchronous adenocarcinomas in a solitary kidney. Sheunderwent thorough clinical and radiographicevaluation. Selective angiography proved to be themost reliable examination in preoperative diagnosis.Double partial nephrectomy was performed and thepatient has normal renal function and no evidence ofrecurrence 27 months postoperatively. Partialnephrectomy in patients with one tumor in a solitarykidney is well documented, though we believe thatpartial nephrectomy can also be performed in selectedcases with multifocal tumors.
Similar content being viewed by others
References
Thrasher JB, Robertson JE and Paulson DF. Expanding indications for conservative renal surgery in renal cell carcinoma. Urology 1994; 43: 160–168.
Buizza C, Antonelli D, Chisena S, Bernasconi S, Zaroli A, Belloni M et al. Conservative therapy in renal carcinoma: follow-up. Arch Ital Urol Androl 1997; 69: 93–100.
Steinbach F, Stockle M and Hohenfellner R. Current controversies in nephron sparing surgery for renal cell carcinoma. World J Urol 1995; 13: 163–165.
Lund GO, Fallon B, Curtis MA and Williams RD. Conservative surgical therapy of localized renal cell carcinoma in von Hippel-Lindau disease. Cancer 1994; 74: 2541–2545.
Gohji K, Hara I, Gotoh A, Eto H, Miyake H, Sugiyama T et al. Multifocal renal cell carcinoma in Japanese patients with tumors with maximal diameters of 50 mm or less. J Urol 1998; 159: 1144–1147.
Walther MM, Choyke PL, Hayes W, Shawker TH, Alexander RB and Linehan WM. Evaluation of color Doppler intraoperative ultrasound in parenchymal sparing renal surgery. J Urol 1994; 152: 1984–1987.
Moll V, Becht E, Ziegler M. Kidney preserving surgery in renal cell tumors: indications, techniques and results in 152 patients. J Urol 1993; 150: 319–323.
Ferrière JM, Pariente JL and Le Guillou M. Conservative surgery in cancer of the kidney. Presse Med 1995; 24: 1507–1508.
De la Taille A, Houdelette P, Houlgatte A, Berlizot P, Lanfrey P and Atger M. Diagnostic difficulties and value of partial surgery in multiple tumors of the kidney. Apropos of 4 cases. J Urol (Paris) 1996; 102: 139–143.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Giannopoulos, A., Kyriakou, G., Constantinides, C. et al. Double partial nephrectomy in a patient with two adenocarcinomas in a solitary kidney. Int Urol Nephrol 32, 223–225 (2000). https://doi.org/10.1023/A:1007170227597
Issue Date:
DOI: https://doi.org/10.1023/A:1007170227597