title: Synchronous bilateral renal tumour: a case report.
abstract: We report a case of synchronous bilateral renal carcinoma treated by partial nephrectomy on the right and total nephrectomy on the left. Follow-up at 42 months after surgery showed no recurrence of the disease. The increasing use of diagnostic imaging techniques such as ultrasound tomography, computerised tomography and nuclear magnetic resonance now allows even small-sized renal formations to be identified. Synchronous bilateral renal tumour has a favourable prognosis, especially when compared with single or asynchronous renal tumours. The recommended intervention is total monolateral nephrectomy combined with partial nephrectomy. The treatment of neoplasms at a more advanced stage, of such a nature as to necessitate bilateral nephrectomy or chemotherapy, results in a significant increase in mortality. Recently, biological therapy has been proposed as a more promising short-term option using interferon-alpha (IFN-alpha) and gamma.
authors.affiliation: Divisione di Chirurgia Generale, Dipartimento di Scienze Chirurgiche-Università degli Studi La Sapienza di Roma.
authors.forename: Laura
authors.initials: L
authors.lastname: Falvo
authors.forename: Alberto
authors.initials: A
authors.lastname: Berni
authors.forename: Antonio
authors.initials: A
authors.lastname: Catania
authors.forename: Arvin
authors.initials: A
authors.lastname: Dibra
authors.forename: Nicola
authors.initials: N
authors.lastname: Foti
authors.forename: Salvatore
authors.initials: S
authors.lastname: Sorrenti
authors.forename: Matteo
authors.initials: M
authors.lastname: De Stefano
authors.forename: Flavio
authors.initials: F
authors.lastname: Forte
authors.forename: Silvio
authors.initials: S
authors.lastname: Palermo
authors.forename: Enrico
authors.initials: E
authors.lastname: De Antoni
mesh_terms: D002292:Carcinoma, Renal Cell / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D009392:Nephrectomy