[Bilateral cancer of the kidney and cancer of a solitary kidney].
The analysis of a series of 31 cases of bilateral renal cancers and cancers of solitary kidneys revealed the following findings: 1) conservative in situ surgery with clamping of the renal pedicle and dopamine, when it is possible, appears to be by far the most logical and simplest solution (17 cases); 2) ex-vivo surgery with auto-grafting represents an extreme solution (2 cases); 3) cases of technical impossibility, in the absence of distant metastases, require radical nephrectomy followed by dialysis (3 cases); 4) in advanced forms, surgical abstention followed by hormone therapy (8 cases) or highly selective embolisation (1 case) sometimes provides surprising survivals.
Service d'Urologie, Groupe Hospitalier Pellegrin-Tripode, Bordeaux.
J M
JM
Ferrière
R
R
Gaston
T
T
Piechaud
P
P
Brucher
M
M
Le Guillou
D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D000369:Aged, 80 and over; D004621:Embolization, Therapeutic; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011183:Postoperative Complications / Q000209:etiology; D011374:Progesterone / Q000627:therapeutic use; D011379:Prognosis
D011374:Progesterone
Cancers du rein bilatéraux et sur rein unique.