Synchronous bilateral renal cell carcinoma: total surgical excision.
Sixty-one patients with bilateral synchronous renal cell carcinoma have undergone total excision of their neoplastic disease. True follow-up of the patients has been obtained from the surgeons or the patients themselves. Fifty-one patients underwent renal parenchymal-sparing procedures in one- or two-stage operations. Successful extracorporeal tumor resection was performed on 17 kidneys. The local tumor recurrence rate is 10%. Ten patients underwent bilateral nephrectomy with maintenance hemodialysis, and 4 of these underwent renal transplantation. The 69% survival rate of the group at five years is better than that of unilateral renal cell carcinoma.
D000230:Adenocarcinoma / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D009392:Nephrectomy; D011379:Prognosis