Synchronous bilateral renal tumour: a case report.
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.
Falvo
Laura
L
Divisione di Chirurgia Generale, Dipartimento di Scienze Chirurgiche-Università degli Studi La Sapienza di Roma.
Berni
Alberto
A
Catania
Antonio
A
Dibra
Arvin
A
Foti
Nicola
N
Sorrenti
Salvatore
S
De Stefano
Matteo
M
Forte
Flavio
F
Palermo
Silvio
S
De Antoni
Enrico
E
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