Surgical management of renal cell carcinoma: Canadian Kidney Cancer Forum Consensus

Rendon, Ricardo; Kapoor, Anil; Breau, Rodney H.; Leveridge, Michael; Feifer, Andrew; Black, Peter C.; So, ß Alan

doi:10.5489/cuaj.1894

Cited by 36 publications

(52 citation statements)

References 223 publications

(223 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While RCC is the sixth and eleventh most common cancer diagnosed in men and women, respectively, 14 concomitant RCC with situs inversus is incredibly rare. Only nine cases have been reported.…”

Section: Resultsmentioning

confidence: 99%

A case of renal cell carcinoma in a patient with situs inversus: Operative considerations and a review of the literature

Oake

Drachenberg

2017

CUAJ

View full text Add to dashboard Cite

Situs inversus, an uncommon mirror-image reversal of the major visceral and thoracic organs, is seldom of medical significance. However, the recognition of their unique anatomy is extremely important for those requiring surgical intervention. There are very few reported cases of renal cell carcinoma (RCC) developing in people with situs inversus. To our knowledge, this is the first reported case in Canada. A review of the literature only identified nine published cases worldwide. Here, we review and summarize pertinent information, including patient age and sex, size and location of tumour, method of surgery, and pathology. Our case, a 65-yearold male, presented with left flank pain and gross hematuria. He was diagnosed with left renal cancer as well as tumour thrombus extending into the left renal veins and inferior vena cava (IVC), clinical T3aN0M0. An abdomen and pelvis computed tomography (CT) scan showed a left-to-right reversal of his organs, a mirrorimage, and situs inversus was diagnosed. A left radical nephrectomy with left renal vein and IVC tumour thrombectomy through a left open midline incision was performed.

show abstract

Section: Resultsmentioning

confidence: 99%

A case of renal cell carcinoma in a patient with situs inversus: Operative considerations and a review of the literature

Oake

Drachenberg

2017

CUAJ

View full text Add to dashboard Cite

show abstract

“…Biopsy should be done at the time of probe ablation, if not before. 9,16 There is Canadian experience with needle core biopsy of SRMs. 13,17 Biopsy appears safe and at least 80% of first biopsies are diagnostic.…”

Section: Methodsmentioning

confidence: 99%

“…[20][21][22][23] The only level I evidence regarding oncological outcomes of partial nephrectomy compared to radical nephrectomy is controversial and was discussed during the Canadian Consensus meeting. 16,[24][25][26][27] The EORTC (European Organization for Research and Treatment of Cancer) trial was underpowered and closed prematurely due to poor enrollment, despite a prolonged accrual. It is still generally believed that partial nephrectomy is not inferior to radical nephrectomy.…”

Section: Partial Nephrectomymentioning

confidence: 99%

“…There is no consensus regarding the optimal surveillance after partial nephrectomy, but the 2008 CUA guideline by Kassouf and colleagues should be followed. 16,30 Thermal or probe ablation-radiofrequency ablation, cryotherapy Percutaneous probe ablation is becoming more widely accepted and practiced, but it is important to have a biopsy before or at the time of treatment for follow-up planning and outcome analysis. 31 Morbidity is low and ablation can be performed on an outpatient basis without general anesthesia in a costeffective manner.…”

Section: Partial Nephrectomymentioning

confidence: 99%

“…The Canadian Consensus for the management of early stage T1a RCC states the following options: 16,19 • Partial nephrectomy is recommended -by open, laparoscopic or robotic-assisted laparoscopic means • Laparoscopic radical nephrectomy is reserved for tumours not amenable to partial nephrectomy • Probe ablation by radiofrequency or cryotherapy.…”

Section: Management Options For Srmsmentioning

confidence: 99%

See 2 more Smart Citations