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Multiple and Bilateral Sporadic Renal Cell Carcinomas: A Surgical Challenge

Sporadic, synchronous, bilateral, or unilateral Renal Cell Carcinomas constitute a rare clinical entity. We report the case of a 68-year-old male patient who presented in our department due to incidentally discovered multiple, bilateral renal tumors. Magnetic Resonance Imaging demonstrated cT1b rena...

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Autores principales: Katsimantas, Antonios, Paparidis, Spyridon, Bouropoulos, Konstantinos, Ferakis, Nikolaos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317102/
https://www.ncbi.nlm.nih.gov/pubmed/30671276
http://dx.doi.org/10.1155/2018/4325762
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author Katsimantas, Antonios
Paparidis, Spyridon
Bouropoulos, Konstantinos
Ferakis, Nikolaos
author_facet Katsimantas, Antonios
Paparidis, Spyridon
Bouropoulos, Konstantinos
Ferakis, Nikolaos
author_sort Katsimantas, Antonios
collection PubMed
description Sporadic, synchronous, bilateral, or unilateral Renal Cell Carcinomas constitute a rare clinical entity. We report the case of a 68-year-old male patient who presented in our department due to incidentally discovered multiple, bilateral renal tumors. Magnetic Resonance Imaging demonstrated cT1b renal tumors at the lower pole of each kidney and a cT1a renal tumor at the upper pole of the right kidney. The patient underwent transperitoneal, laparoscopic left partial nephrectomy with renal artery occlusion, histology revealed high-grade, pT1b, clear-cell renal cell carcinoma; however we observed decline of patient's estimated glomerular filtration rate postoperatively. Forty days postoperatively, he underwent open partial nephrectomy for the right sided tumors with manual compression of the renal parenchyma and no use of ischemia. Histology revealed high-grade, pT1a, clear-cell renal cell carcinoma at the upper pole of the right kidney and low-grade, pT1b, clear-cell renal cell carcinoma at the lower pole of the right kidney. There was no additional decline in the serum creatinine value postoperatively. The patient avoided permanent or temporary dialysis and 6 months postoperatively he demonstrated no recurrence on imaging and his renal function remained stable.
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spelling pubmed-63171022019-01-22 Multiple and Bilateral Sporadic Renal Cell Carcinomas: A Surgical Challenge Katsimantas, Antonios Paparidis, Spyridon Bouropoulos, Konstantinos Ferakis, Nikolaos Case Rep Urol Case Report Sporadic, synchronous, bilateral, or unilateral Renal Cell Carcinomas constitute a rare clinical entity. We report the case of a 68-year-old male patient who presented in our department due to incidentally discovered multiple, bilateral renal tumors. Magnetic Resonance Imaging demonstrated cT1b renal tumors at the lower pole of each kidney and a cT1a renal tumor at the upper pole of the right kidney. The patient underwent transperitoneal, laparoscopic left partial nephrectomy with renal artery occlusion, histology revealed high-grade, pT1b, clear-cell renal cell carcinoma; however we observed decline of patient's estimated glomerular filtration rate postoperatively. Forty days postoperatively, he underwent open partial nephrectomy for the right sided tumors with manual compression of the renal parenchyma and no use of ischemia. Histology revealed high-grade, pT1a, clear-cell renal cell carcinoma at the upper pole of the right kidney and low-grade, pT1b, clear-cell renal cell carcinoma at the lower pole of the right kidney. There was no additional decline in the serum creatinine value postoperatively. The patient avoided permanent or temporary dialysis and 6 months postoperatively he demonstrated no recurrence on imaging and his renal function remained stable. Hindawi 2018-12-20 /pmc/articles/PMC6317102/ /pubmed/30671276 http://dx.doi.org/10.1155/2018/4325762 Text en Copyright © 2018 Antonios Katsimantas et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Katsimantas, Antonios
Paparidis, Spyridon
Bouropoulos, Konstantinos
Ferakis, Nikolaos
Multiple and Bilateral Sporadic Renal Cell Carcinomas: A Surgical Challenge
title Multiple and Bilateral Sporadic Renal Cell Carcinomas: A Surgical Challenge
title_full Multiple and Bilateral Sporadic Renal Cell Carcinomas: A Surgical Challenge
title_fullStr Multiple and Bilateral Sporadic Renal Cell Carcinomas: A Surgical Challenge
title_full_unstemmed Multiple and Bilateral Sporadic Renal Cell Carcinomas: A Surgical Challenge
title_short Multiple and Bilateral Sporadic Renal Cell Carcinomas: A Surgical Challenge
title_sort multiple and bilateral sporadic renal cell carcinomas: a surgical challenge
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317102/
https://www.ncbi.nlm.nih.gov/pubmed/30671276
http://dx.doi.org/10.1155/2018/4325762
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