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388701

Managing of Upper Pole Right Renal Mass Using Partial Nephrectomy: Case Report

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Last updated: 24 Dec 2024

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Abstract

Background: The publishing of improved oncological and functional outcomes over radical nephrectomy has led to a shift in the management of small renal malignancies toward partial nephrectomy. In order to treat renal cancer, a surgeon would often make an incision in the patient's abdomen and remove part of the kidney using an open partial nephrectomy. Objective: We aimed to assess efficacy of management of upper pole right renal mass using partial nephrectomy. Patient and methods: A female patient 49 years old housekeeper with no special habits and BMI was 30 kg/m2. She presented to Urology Unit in Al-Ahrar Teaching Hospital with accidently discovered right upper pole renal mass 6 X 5.5 cm with no other urological symptoms. CT with contrast showed enhanced mass of upper pole not reaching hilum and normal contralateral kidney with good enhancement. Management done using partial nephrectomy. Results: The patient was operated under general anesthesia in left lateral position. Supra 11th rib intercostal incision was done with complete exposure of the kidney and pedicle control. Pathology showed free margin, and the tumor was confirmed to be an oncocytoma. Conclusion: As an alternative to the more thorough open radical nephrectomy (Which removes the entire kidney along with any surrounding lymph nodes, fatty tissue, and adrenal gland) when cancer is present, partial nephrectomy may be considered. Preoperative radiological pictures made the diagnosis of renal oncocytoma or renal cell carcinoma (RCC) challenging, particularly in cases where a big mass is visible. Histopathological analysis of the mass was the only way to confirm the diagnosis.  

DOI

10.21608/ejhm.2024.388701

Keywords

Right renal mass, Partial Nephrectomy, Oncocytoma

Volume

97

Article Issue

1

Related Issue

50804

Issue Date

2024-10-01

Receive Date

2024-10-23

Publish Date

2024-10-01

Page Start

3,760

Page End

3,763

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_388701.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=388701

Order

51

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Managing of Upper Pole Right Renal Mass Using Partial Nephrectomy: Case Report

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Type

Article

Created At

24 Dec 2024