Renal oncocytoma surgery: Difference between revisions
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{{CMG}}; {{AE}}{{Homa}} {{SC}} | {{CMG}}; {{AE}}{{Homa}} {{SC}} | ||
==Overview== | ==Overview== | ||
[[Surgery]] is the mainstay of treatment for renal oncocytoma. | [[Surgery]] is the mainstay of treatment for renal oncocytoma. Although the nature of renal oncocytoma is [[benign]] and the [[prognosis]] is excellent, since the definite [[diagnosis]] can not be obtained before [[Operation (mathematics)|operation]], [[surgical resection]] is a choice of treatment. Best option for [[surgery]] differs based on the [[mass]] characteristics, [[partial nephrectomy]] is done in [[polar]] [[lesions]] smaller than 4 cm in a normal contralateral [[kidney]] while, large [[solid]] [[renal]] [[mass]]<nowiki/>es which destroy most part of [[renal]] [[tissue]] or [[patients]] who have not candidate for nephron-sparing [[surgery]] are reserved for total [[nephrectomy]]. | ||
==Surgery== | ==Surgery== | ||
[[Surgery]] is the mainstay of treatment for renal oncocytoma. | [[Surgery]] is the mainstay of treatment for renal oncocytoma. Although the nature of renal oncocytoma is [[benign]] and the [[prognosis]] is excellent, since the definite [[diagnosis]] can not be obtained before [[Operation (mathematics)|operation]], [[surgical resection]] is a choice of treatment.<ref>{{Cite journal | ||
| author = [[I. S. Gill]], [[A. C. Novick]], [[A. M. Meraney]], [[R. N. Chen]], [[M. G. Hobart]], [[G. T. Sung]], [[J. Hale]], [[D. K. Schweizer]] & [[E. M. Remer]] | |||
| title = Laparoscopic renal cryoablation in 32 patients | |||
| journal = [[Urology]] | |||
| volume = 56 | |||
| issue = 5 | |||
| pages = 748–753 | |||
| year = 2000 | |||
| month = November | |||
| pmid = 11068292 | |||
}}</ref> | |||
== | |||
There are some debate in choosing the best option of [[surgery]] for these [[patients]], although the recommendations are:<ref>{{Cite journal | |||
| author = [[Stephen M. Schatz]] & [[Michael M. Lieber]] | |||
| title = Update on oncocytoma | |||
| journal = [[Current urology reports]] | |||
| volume = 4 | |||
| issue = 1 | |||
| pages = 30–35 | |||
| year = 2003 | |||
| month = February | |||
| pmid = 12537936 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[D. Y. Chan]], [[J. A. Cadeddu]], [[T. W. Jarrett]], [[F. F. Marshall]] & [[L. R. Kavoussi]] | |||
| title = Laparoscopic radical nephrectomy: cancer control for renal cell carcinoma | |||
| journal = [[The Journal of urology]] | |||
| volume = 166 | |||
| issue = 6 | |||
| pages = 2095–2099 | |||
| year = 2001 | |||
| month = December | |||
| pmid = 11696714 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[W. K. Lau]], [[M. L. Blute]], [[A. L. Weaver]], [[V. E. Torres]] & [[H. Zincke]] | |||
| title = Matched comparison of radical nephrectomy vs nephron-sparing surgery in patients with unilateral renal cell carcinoma and a normal contralateral kidney | |||
| journal = [[Mayo Clinic proceedings]] | |||
| volume = 75 | |||
| issue = 12 | |||
| pages = 1236–1242 | |||
| year = 2000 | |||
| month = December | |||
| pmid = 11126830 | |||
}}</ref> | |||
#[[Partial nephrectomy]]: | |||
#*In a normal [[contralateral]] [[kidney]] | |||
#*[[Polar]] lesions smaller than 4 cm in size | |||
#[[Nephrectomy]]: | |||
#*Large [[solid]] [[renal]] [[mass]]<nowiki/>es which destroys most part of the [[renal]] [[tissue]] | |||
#*The patient who has not candidate for nephron-sparing [[surgery]] | |||
==References== | ==References== | ||
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{{WS}} | {{WS}} | ||
[[Category: | [[Category:Up-To-Date]] | ||
[[Category:Medicine]] | |||
[[Category:Oncology]] | |||
[[Category:Nephrology]] | |||
[[Category:Surgery]] |
Latest revision as of 23:57, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2] Shanshan Cen, M.D. [3]
Overview
Surgery is the mainstay of treatment for renal oncocytoma. Although the nature of renal oncocytoma is benign and the prognosis is excellent, since the definite diagnosis can not be obtained before operation, surgical resection is a choice of treatment. Best option for surgery differs based on the mass characteristics, partial nephrectomy is done in polar lesions smaller than 4 cm in a normal contralateral kidney while, large solid renal masses which destroy most part of renal tissue or patients who have not candidate for nephron-sparing surgery are reserved for total nephrectomy.
Surgery
Surgery is the mainstay of treatment for renal oncocytoma. Although the nature of renal oncocytoma is benign and the prognosis is excellent, since the definite diagnosis can not be obtained before operation, surgical resection is a choice of treatment.[1]
There are some debate in choosing the best option of surgery for these patients, although the recommendations are:[2][3][4]
- Partial nephrectomy:
- In a normal contralateral kidney
- Polar lesions smaller than 4 cm in size
- Nephrectomy:
References
- ↑ I. S. Gill, A. C. Novick, A. M. Meraney, R. N. Chen, M. G. Hobart, G. T. Sung, J. Hale, D. K. Schweizer & E. M. Remer (2000). "Laparoscopic renal cryoablation in 32 patients". Urology. 56 (5): 748–753. PMID 11068292. Unknown parameter
|month=
ignored (help) - ↑ Stephen M. Schatz & Michael M. Lieber (2003). "Update on oncocytoma". Current urology reports. 4 (1): 30–35. PMID 12537936. Unknown parameter
|month=
ignored (help) - ↑ D. Y. Chan, J. A. Cadeddu, T. W. Jarrett, F. F. Marshall & L. R. Kavoussi (2001). "Laparoscopic radical nephrectomy: cancer control for renal cell carcinoma". The Journal of urology. 166 (6): 2095–2099. PMID 11696714. Unknown parameter
|month=
ignored (help) - ↑ W. K. Lau, M. L. Blute, A. L. Weaver, V. E. Torres & H. Zincke (2000). "Matched comparison of radical nephrectomy vs nephron-sparing surgery in patients with unilateral renal cell carcinoma and a normal contralateral kidney". Mayo Clinic proceedings. 75 (12): 1236–1242. PMID 11126830. Unknown parameter
|month=
ignored (help)