%0 Journal Article
%T Carcinoma de c¨¦lulas renales bilateral y asincr¨®nico: Cirug¨ªas radical y conservadora con hipotermia in situ
%A Ballesteros Sampol
%A Juan Jos¨¦
%A Franc¨¦s Comalat
%A Albert
%J Archivos Espa£¿oles de Urolog¨ªa (Ed. impresa)
%D 2009
%I Scientific Electronic Library Online
%R 10.4321/S0004-06142009000400006
%X objectives: to present the double action a urologist has to consider in front of a renal cell carcinoma (rcc); on one hand, when the normality of the contralateral kidney is stated and, on the other hand when, forced by the existence of the tumor in a solitary kidney, it is mandatory to perform a surgical technique to preserve renal function. method: the case of a 43 year-old patient, diabetic who in 1982 underwent left radical nephrectomy for rcc diagnosed during a diagnostic work up for hypertension (hta). ten years later an upper pole renal tumor is found in the remaining kidney. nephron-sparing surgery with in situ hypothermia was performed. results: the patient died 18 years after the first surgery and 8 years after the second. death was due to diabetic decompensation, haemorrhage from a gastric ulcer and "retroperitoneal mass probably pancreatic" that was not characterized. conclusions: the psa decline, the histology of the prostate during the adenomectomy and the morpho-metric changes after surgery and at mid-term, advise a more accurate value of psa in patients who underwent open surgery, in order to detect a carcinoma in the residual prostate gland.
%K bilateral renal cell carcinoma
%K hypothermia nephrone-sparing surgery
%K surgery at solitary kidney.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0004-06142009000400006&lng=en&nrm=iso&tlng=en