Bilateral cancer of the kidney and cancer of a solitary kidney
Ferrière, J.M.; Gaston, R.; Piechaud, T.; Brucher, P.; Le Guillou, M.
Annales d'Urologie 21(6): 381-386
1987
ISSN/ISBN: 0003-4401 PMID: 3435057 Document Number: 296976
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.