title: Conservative surgery in synchronic bilateral renal carcinoma.
abstract: OBJECTIVE
  To describe a case of staged conservative treatment of a synchronic bilateral renal tumor, a real surgical challenge.
  
  
  METHODS
  46-year old obese female who consulted for fever; bilateral solid masses > 70 mm were detected and surgical treatment was offered.
  
  
  RESULTS
  Staged conservative treatment consisting in selective embolization of both lesions and subsequent surgery was performed. Right partial nephrectomy with ipsilateral adrenalectomy was done first, and 90 days later left partial nephrectomy. Pathology revealed, clear cell carcinomas with negative surgical margins in both cases in addition to a right adrenal adenoma. After 48 months of follow up, the patient remains free of local or systemic disease with normal renal function.
  
  
  CONCLUSIONS
  The objective for these patients is a complete resection of the tumors and preservation of as much renal tissue as possible. Conservative surgery has proven to be an effective therapy to achieve both goals in cases of bilateral synchronic renal tumors.
authors.affiliation: FUCDIM. Cordoba.Argentina.
authors.forename: Tristan
authors.initials: T
authors.lastname: Dellavedova
authors.forename: Raúl H
authors.initials: RH
authors.lastname: Nóbile
authors.forename: Rolando
authors.initials: R
authors.lastname: Ponzano
authors.forename: Gustavo
authors.initials: G
authors.lastname: Minuzzi
authors.forename: Federico
authors.initials: F
authors.lastname: Minuzzi
mesh_terms: D002292:Carcinoma, Renal Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*