Nephron sparing surgery for a patient with a complicated solitary functioning kidney and a giant pT3 renal cell carcinoma: A case report

被引：0

作者：

Yu, Minghao ^{[1
]}

Zhou, Jiatong ^{[1
]}

Xun, Shangguan ^{[1
]}

Qian, Subo ^{[1
]}

Ding, Jie ^{[1
]}

Qi, Jun ^{[1
]}

机构：

[1] Shanghai Jiao Tong Univ, Xinhua Hosp, Sch Med, Dept Urol, Shanghai, Peoples R China

来源：

FRONTIERS IN SURGERY | 2023年 / 10卷

基金：

中国国家自然科学基金;

关键词：

solitary functioning kidney; nephron-sparing surgery; renal cell carcinoma; acute upper ureteral obstruction; case report; open nephrectomy; PARTIAL NEPHRECTOMY;

D O I：

10.3389/fsurg.2023.1094472

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A solitary functioning kidney (SFK) with renal cell carcinoma (RCC) is an imperative indication for nephron-sparing surgery (NSS). Nevertheless, a giant pT3 RCC mass (maximum diameter >20 cm) on the functioning side of a patient with SFK is extremely rare. However, whether NSS is more beneficial than radical nephrectomy (RN) in such patients is controversial. Here, we present the case of a 71-year-old female patient with a 20 cm*16 cm RCC mass in the SFK, who initially presented with hematuria and acute urinary tract obstructive anuria caused by renal calculi. The patient underwent NSS treatment after our evaluation, and the 26-month follow-up revealed that her renal function recovered to the state before the tumor formation. In addition, no relapse or metastasis was detected.

引用

页数：6

共 9 条

[1] Short-Term Functional and Oncologic Outcomes of Nephron-Sparing Surgery for Renal Tumours ≥7 cm [J].

Becker, Frank ;

Roos, Frederik C. ;

Janssen, Martin ;

Brenner, Walburgis ;

Hampel, Christian ;

Siemer, Stefan ;

Thueroff, Joachim W. ;

Stoeckle, Michael .

EUROPEAN UROLOGY, 2011, 59 (06) :931-937

[2] Nephron-sparing surgery for renal cell carcinoma in the solitary kidney [J].

Berdjis, Navid ;

Hakenberg, Oliver W. ;

Novotny, Vladimir ;

Manseck, Andreas ;

Oehlschlaeger, Sven ;

Wirth, Manfred P. .

SCANDINAVIAN JOURNAL OF UROLOGY AND NEPHROLOGY, 2007, 41 (01) :10-13

[3] Neoadjuvant therapy for localized and locally advanced renal cell carcinoma [J].

Bindayi, Ahmet ;

Hamilton, Zachary A. ;

McDonald, Michelle L. ;

Yim, Kendrick ;

Millard, Frederick ;

McKay, Rana R. ;

Campbell, Steven C. ;

Rini, Brian I. ;

Derweesh, Ithaar H. .

UROLOGIC ONCOLOGY-SEMINARS AND ORIGINAL INVESTIGATIONS, 2018, 36 (01) :31-37

[4] Toward Individualized Approaches to Partial Nephrectomy: Assessing the Correlation Between Ischemia Time and Patient Health Status (RECORD2 Project) [J].

Bravi, Carlo Andrea ;

Mari, Andrea ;

Larcher, Alessandro ;

Amparore, Daniele ;

Antonelli, Alessandro ;

Artibani, Walter ;

Bertini, Roberto ;

Bove, Pierluigi ;

Brunocilla, Eugenio ;

Da Pozzo, Luigi ;

di Maida, Fabrizio ;

Fiori, Cristian ;

Gallioli, Andrea ;

Gontero, Paolo ;

Li Marzi, Vincenzo ;

Longo, Nicola ;

Mirone, Vincenzo ;

Porpiglia, Francesco ;

Rocco, Bernardo ;

Schiavina, Riccardo ;

Schips, Luigi ;

Simeone, Claudio ;

Siracusano, Salvatore ;

Tellini, Riccardo ;

Terrone, Carlo ;

Trombetta, Carlo ;

Ficarra, Vincenzo ;

Carini, Marco ;

Montorsi, Francesco ;

Capitanio, Umberto ;

Minervini, Andrea .

EUROPEAN UROLOGY ONCOLOGY, 2021, 4 (04) :645-650

[5] Outcome of Stage T2 or Greater Renal Cell Cancer Treated With Partial Nephrectomy [J].

Breau, Rodney H. ;

Crispen, Paul L. ;

Jimenez, Rafael E. ;

Lohse, Christine M. ;

Blute, Michael L. ;

Leibovich, Bradley C. .

JOURNAL OF UROLOGY, 2010, 183 (03) :903-908

[6] Partial nephrectomy for selected renal cortical tumours of ≥7 cm [J].

Karellas, Michael E. ;

O'Brien, M. Frank ;

Jang, Thomas L. ;

Bernstein, Melanie ;

Russo, Paul .

BJU INTERNATIONAL, 2010, 106 (10) :1484-1487

[7] European Association of Urology Guidelines on Renal Cell Carcinoma: The 2022 Update [J].

Ljungberg, Borje ;

Albiges, Laurence ;

Abu-Ghanem, Yasmin ;

Bedke, Jens ;

Capitanio, Umberto ;

Dabestani, Saeed ;

Fernandez-Pello, Sergio ;

Giles, Rachel H. ;

Hofmann, Fabian ;

Hora, Milan ;

Klatte, Tobias ;

Kuusk, Teele ;

Lam, Thomas B. ;

Marconi, Lorenzo ;

Powles, Thomas ;

Tahbaz, Rana ;

Volpe, Alessandro ;

Bex, Axel .

EUROPEAN UROLOGY, 2022, 82 (04) :399-410

[8] Kidney Cancer, Version 1.2021 Featured Updates to the NCCN Guidelines [J].

Motzer, Robert J. ;

Jonasch, Eric ;

Boyle, Shawna ;

Carlo, Maria, I ;

Manley, Brandon ;

Agarwal, Neeraj ;

Alva, Ajjai ;

Beckermann, Katy ;

Choueiri, Toni K. ;

Costello, Brian A. ;

Derweesh, Ithaar H. ;

Desai, Arpita ;

George, Saby ;

Gore, John L. ;

Haas, Naomi ;

Hancock, Steven L. ;

Kyriakopoulos, Christos ;

Lam, Elaine T. ;

Lau, Clayton ;

Lewis, Bryan ;

Madoff, David C. ;

McCreery, Brittany ;

Michaelson, M. Dror ;

Mortazavi, Amir ;

Nandagopal, Lakshminarayanan ;

Pierorazio, Phillip M. ;

Plimack, Elizabeth R. ;

Ponsky, Lee ;

Ramalingam, Sundhar ;

Shuch, Brian ;

Smith, Zachary L. ;

Somer, Bradley ;

Sosman, Jeffrey ;

Dwyer, Mary A. ;

Motter, Angela D. .

JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK, 2020, 18 (09) :1161-1170

[9] Open nephron-sparing surgery in patients with a complex tumour in a solitary kidney: technical, oncological and functional outcomes [J].

Rintoul-Hoad, Sophie ;

Fernando, Archana ;

Nair, Rajesh ;

Challacombe, Ben ;

O'Brien, Tim .

BJU INTERNATIONAL, 2021, 128 (04) :431-434

← 1 →