Partial Nephrectomy for Renal Adenocarcinoma in a Solitary Kidney

Abstract

SUMMARY A case of right lower partial nephrectomy for renal adenocarcinoma is described. The left kidney was congenitally absent and the patient was well over two years later. We are indebted to Dr A. MacFarlane and Dr R. C. B. Pugh for their pathological reports, and to Dr R. G. Grainger for the aortogram.

Renal cell cancer in the solitary or sole-functioning kidney

“…22 slow growth patterns and would emphasize the fact that tumor may remain regionally localized. 1, z5 These factors relating to the natural history of the tumor as well as the age, physical condition and mental status of the patient must be considered in any overall evaluation for therapy.…”

“…T h e patient died 4 months later with a flank Vol. 22 urinary fistula. It would appear from the description that "margin" was not obtained as tumor extent was not detailed.…”

“…22 cell cancer in a sole kidney, the opposite kidney had been removed for renal cell cancer (Table 2). This is statistically significant as certainly 42y0 of nephrectomies are not performed for renal cell cancer in most institutions.…”

Partial Nephrectomy — a Pathological Evaluation

“…It is obvious that some renal tumours are quite unsuited to partial nephrectomy, while others may well be amenable to such treatment. It is essential for the surgeon to have as clear a picture as possible of the situation, size and vascular connections of the tumour before exploration is undertaken, as pointed out by Flemming & Ward-McQuaid (1964).…”