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