POSSIBILITIES OF ORGAN-PRESERVING TREATMENT OF PATIENTS WITH MULTIPLE RENAL TUMORS

Renal cell carcinoma (RCC) occupies one of the leading places in the world for morbidity among malignant neoplasms of the genitourinary system. The frequency of occurrence of bilateral RCC according to different authors is 2–6% of the total population of patients with RCC. Currently, the only effect...

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Main Authors: B. Ya. Alekseev, A. S. Kalpinskiy, I. A. Taraki, A. A. Mukhomed’yarova, K. М. Nyushko, N. V. Vorobyev, A. A. Kostin, A. D. Kaprin
Format: Article
Language:Russian
Published: QUASAR, LLC 2017-06-01
Series:Исследования и практика в медицине
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Online Access:https://www.rpmj.ru/rpmj/article/view/187
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author B. Ya. Alekseev
A. S. Kalpinskiy
I. A. Taraki
A. A. Mukhomed’yarova
K. М. Nyushko
N. V. Vorobyev
A. A. Kostin
A. D. Kaprin
author_facet B. Ya. Alekseev
A. S. Kalpinskiy
I. A. Taraki
A. A. Mukhomed’yarova
K. М. Nyushko
N. V. Vorobyev
A. A. Kostin
A. D. Kaprin
author_sort B. Ya. Alekseev
collection DOAJ
description Renal cell carcinoma (RCC) occupies one of the leading places in the world for morbidity among malignant neoplasms of the genitourinary system. The frequency of occurrence of bilateral RCC according to different authors is 2–6% of the total population of patients with RCC. Currently, the only effective method of treatment of bilateral RCC is surgical treatment. Patients with bilateral RCC are at high risk of dev eloping of local recurrence or progression of the disease after organ-preserving surgeries, which is why the surgeon is faced with a choice between a high risk of developing renal failure or relapse and/or progression of the disease, depending on the extent of the surgical intervention. According to the literature, in patients with bilateral RCC there was an increase in the incidence of papillary variant of RCC up to 19% and the presence of multifocal lesion. Surgical treatment of bilateral RCC is the only effective method to achieve satisfactory oncological results at a low incidence of complications. The m ost justified option for the treatment of bilateral RCC is the implementation of bilateral organ-preserving treatment, which allows achieving the optimal functional results. This article presents a clinical case of successful surgical treatment of a patient with bilateral RCC with multiple tumors.
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spelling doaj-art-11f8df3f676c470d89f95550169e2ff02025-08-20T03:21:59ZrusQUASAR, LLCИсследования и практика в медицине2410-18932017-06-0142546010.17709/2409-2231-2017-4-2-7147POSSIBILITIES OF ORGAN-PRESERVING TREATMENT OF PATIENTS WITH MULTIPLE RENAL TUMORSB. Ya. Alekseev0A. S. Kalpinskiy1I. A. Taraki2A. A. Mukhomed’yarova3K. М. Nyushko4N. V. Vorobyev5A. A. Kostin6A. D. Kaprin7P. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationP. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationPeoples Friendship University of RussiaP. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationP. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationP. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationP. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation; Peoples Friendship University of RussiaP. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation; Peoples Friendship University of RussiaRenal cell carcinoma (RCC) occupies one of the leading places in the world for morbidity among malignant neoplasms of the genitourinary system. The frequency of occurrence of bilateral RCC according to different authors is 2–6% of the total population of patients with RCC. Currently, the only effective method of treatment of bilateral RCC is surgical treatment. Patients with bilateral RCC are at high risk of dev eloping of local recurrence or progression of the disease after organ-preserving surgeries, which is why the surgeon is faced with a choice between a high risk of developing renal failure or relapse and/or progression of the disease, depending on the extent of the surgical intervention. According to the literature, in patients with bilateral RCC there was an increase in the incidence of papillary variant of RCC up to 19% and the presence of multifocal lesion. Surgical treatment of bilateral RCC is the only effective method to achieve satisfactory oncological results at a low incidence of complications. The m ost justified option for the treatment of bilateral RCC is the implementation of bilateral organ-preserving treatment, which allows achieving the optimal functional results. This article presents a clinical case of successful surgical treatment of a patient with bilateral RCC with multiple tumors.https://www.rpmj.ru/rpmj/article/view/187primary-multiple cancerbilateral renal carcinomarenal cell carcinoma
spellingShingle B. Ya. Alekseev
A. S. Kalpinskiy
I. A. Taraki
A. A. Mukhomed’yarova
K. М. Nyushko
N. V. Vorobyev
A. A. Kostin
A. D. Kaprin
POSSIBILITIES OF ORGAN-PRESERVING TREATMENT OF PATIENTS WITH MULTIPLE RENAL TUMORS
Исследования и практика в медицине
primary-multiple cancer
bilateral renal carcinoma
renal cell carcinoma
title POSSIBILITIES OF ORGAN-PRESERVING TREATMENT OF PATIENTS WITH MULTIPLE RENAL TUMORS
title_full POSSIBILITIES OF ORGAN-PRESERVING TREATMENT OF PATIENTS WITH MULTIPLE RENAL TUMORS
title_fullStr POSSIBILITIES OF ORGAN-PRESERVING TREATMENT OF PATIENTS WITH MULTIPLE RENAL TUMORS
title_full_unstemmed POSSIBILITIES OF ORGAN-PRESERVING TREATMENT OF PATIENTS WITH MULTIPLE RENAL TUMORS
title_short POSSIBILITIES OF ORGAN-PRESERVING TREATMENT OF PATIENTS WITH MULTIPLE RENAL TUMORS
title_sort possibilities of organ preserving treatment of patients with multiple renal tumors
topic primary-multiple cancer
bilateral renal carcinoma
renal cell carcinoma
url https://www.rpmj.ru/rpmj/article/view/187
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