Nephron-Sparing Surgery

  • H. P. Van Poppel
  • L. Baert
Part of the Medical Radiology book series (MEDRAD)


Adenocarcinoma of the kidney remains a challenge in urologic oncology. While prostate cancer and bladder neoplasms are much more frequent than kidney cancer, the mortality from kidney cancer can be estimated to be twice as high as that from bladder and 3 times as high as that from prostate cancer. The clinical picture of renal cell carcinoma has, however, changed completely during the last decade. Most tumors are no longer presenting at a locally advanced or disseminated stage with hematuria or pain. Indeed, early diagnosis of the disease has been much more common since the development of ultrasound, computerized axial tomography (CT), and magnetic resonance imaging (MRI). Nowadays more frequently asymptomatic and often low-stage tumors are routinely detected with the use of modern imaging techniques (see Chap. 4). This raises questions about the extent of surgery that is performed with curative intent.


Renal Cell Carcinoma Partial Nephrectomy Renal Mass Radical Nephrectomy Conservative Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • H. P. Van Poppel
    • 1
  • L. Baert
    • 1
  1. 1.Department of UrologyUniversity Hospitals Gasthuisberg, Catholic University of LeuvenLeuvenBelgium

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