Nephron Sparing Surgery Associated With Better Survival Than Radical Nephrectomy in Patients Treated for Unforeseen Benign Renal Tumors

Ljungberg, Börje; Hedin, Oskar; Lundstam, Sven; Warnolf, Åsa; Forsberg, Anna; Hjelle, Karin M.; Stief, Christian G.; Borlinghaus, Claudia; Beisland, Christian; Staehler, Michael

doi:10.1016/j.urology.2016.01.037

Cited by 19 publications

(10 citation statements)

References 25 publications

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“…Indeed, these patients seem to present higher incidence of RCC, but less aggressive disease with better oncological outcomes [18]. Kava et al retrospectively [26]. The lower incidence of RN in our study might be due to the nature of the institutions involved, where PN represents the preferred treatment for renal masses, even in case of large and complex tumors [27,28].…”

Section: Discussionmentioning

confidence: 53%

Outcomes and predictors of benign histology in patients undergoing robotic partial or radical nephrectomy for renal masses: a multicenter study

Nandanan

Veccia

Antonelli

et al. 2020

Cent european J Urol

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Section: Discussionmentioning

confidence: 53%

Outcomes and predictors of benign histology in patients undergoing robotic partial or radical nephrectomy for renal masses: a multicenter study

Nandanan

Veccia

Antonelli

et al. 2020

Cent european J Urol

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“…The characteristic feature of these lesions is that they usually arise only from a small area over the surface of the kidney [10,11]. It is this peculiarity of these lesions which can be exploited to the maximum, as it makes them amenable to resection with the intention to preserve renal parenchyma by NSS even in cases of giant AML by Open/Laparoscopic/Robotic method.…”

Section: Discussionmentioning

confidence: 99%

Nephron sparing surgery for giant renal angiomyolipoma; a viable option?

2020

AJUN

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Angiomyolipomas (AML) are most common benign tumors of the Kidney. It may be an incidental diagnosis or in symptomatic patients it may cause flank pain,hematuria or renal mass. Also, sometimes renal AML may present initially as spontaneous retroperitoneal hemorrhage secondary to rupture (Wunderlich syndrome). AML >10 cm in size is known as giant AML and the data available on this entity is sparse. Herein, we report a case of a 28-year-old homemaker who had left flank pain for 3 months, on evaluation elsewhere, Ultrasonography, and Contrast Computed Tomography Scan - Kidney Ureter Bladder showed a left giant renal AML. This patient came to our centre for further management. Subsequently, this patient underwent left open Partial Nephrectomy; specimen was 21.5 cm x 16 cm x 14 cm in size and weighed 1330 g. Histopathological analysis showed AML. It is important to contemplate a primary nephron sparing approach even in a case of giant renal AML, as it may turn out to be a correct choice with a positive outcome.

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“…Giant AML usually managed by total nephrectomy (2). We should always attempt to preserve the renal function by nephron-sparing surgery in giant AML because they mostly arise from a small portion of normal kidney (3,4). Very few studies are there with regards to nephron-sparing surgery in giant AML with low complication rates of up to 12% and low local recurrence rates (5).…”

Section: Discussionmentioning

confidence: 99%

Nephron-sparing Surgery without Angioembolization in Giant Angiomyolipoma: Is it Feasible?

Arya¹,

Bhatyal²,

Narang³

et al. 2018

jus

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Öz Introduction Renal angiomyolipoma (AML) is a benign tumor composed of adipose tissue, abnormal blood vessels and smooth muscle. AML is usually diagnosed incidentally on ultrasound but symptoms may vary from flank pain, palpable flank mass and hematuria to life-threatening hemorrhage (52%-91%) especially in those larger than 4 cm. Giant AML is usually managed by transarterial embolization (TAE), partial nephrectomy or total nephrectomy as described in the literature. Our case represents the largest AML with a dimension of up to 40 cm which was managed by nephron-sparing surgery in the form of partial nephrectomy without prior embolization. Case Presentation A 35-year-old female patient presented with bloating sensation and increasing abdomen girth since last 3 years. Ultrasound Literatürde çeşitli boyutlarda renal anjiyomiyolipom olguları bildirilmiştir ve 10 cm'den daha büyük olanlar için dev AML terimi genel ortak görüştür. Olgumuz, son üç yıldır artan karın şişliği ile başvurdu. Kontrastlı batın tomografisi hem sol böbrekte küçük ve çok odaklı hem de sağ böbreğin üst ve orta bölümünden köken alan büyük boyutlarda anjiyomiyolipomlar saptadı. Sağ böbreğin orta ve üst bölümüne uygulanan parsiyel nefrektomiye ek olarak alt kutuptaki küçük odaklara da enükleasyon uygulanarak, nefron koruyucu cerrahi yapıldı. Cerrahi örnek 40 cm × 20 cm × 15 cm boyutlarında ve 7000 g ağırlığında olup, histopatolojik açıdan AML olduğu doğrulandı. Bu, 40 cm'ye kadar bir boyuta sahip en büyük AML olgusudur ve öncesinde anjiyoembolizasyon olmaksızın nefron koruyucu cerrahi yapılmıştır. Boyutu genellikle 10 cm'den büyük olan AML, literatürde dev AML olarak kabul edilir.

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Nephron Sparing Surgery Associated With Better Survival Than Radical Nephrectomy in Patients Treated for Unforeseen Benign Renal Tumors

Cited by 19 publications

References 25 publications

Outcomes and predictors of benign histology in patients undergoing robotic partial or radical nephrectomy for renal masses: a multicenter study

Outcomes and predictors of benign histology in patients undergoing robotic partial or radical nephrectomy for renal masses: a multicenter study

Nephron sparing surgery for giant renal angiomyolipoma; a viable option?

Nephron-sparing Surgery without Angioembolization in Giant Angiomyolipoma: Is it Feasible?

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