Tumour in the solitary kidney – Management

  • Renal cell carcinoma can occur in a patient with a solitary kidney
  • The current recommendation is to do partial nephrectomy as long as sufficient margin of normal tissue is available
  • This helps to avoid the requirement of lifelong hemodialysis
  • Partial nephrectomy cannot be done in those with a large tumour or multiple small tumours throughout the kidney
  • Survival rates of upto 90% have been reported in stage I disease and upto 76% for stage III tumours with conservative surgery

Reference:
Diagnosis and Management of Cancer By Ashok Mehta, S.C. Bansal

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