Мультимодальное лечение двусторонних опухолей почек как способ улучшения онкологических и функциональных результатов: клинический случай и обзор литературы

Автор: Jennifer Yates, Ravi Munver, David Crawley, Thomas Christiano, Ihor Sawczuk

Журнал: Злокачественные опухоли @malignanttumors

Рубрика: Достижения в хирургическом лечении

Статья в выпуске: 1 т.1, 2011 года.

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Почечно-клеточный рак (ПКР) может поражать как одну, так и обе почки. Описаны случаи мультифокального поражения одной почки. Синхронные и метахронные двусторонние опухоли почек представляют серьезную медицинскую проблему, которая должна быть решена наилучшим путем с точки зрения радикальности лечения и максимального сохранения функции почек.Мы представляем описание клинического случая метахронного ПКР с рецидивом в ипсилатеральной и контралатеральной почке. У этого пациента было использовано несколько методик, направленных на сохранение функции нефронов. Был проведен обзор литературы по заболеваемости, лечению и исходам синхронного и метахронного ПКР, а также по вариантам лечения, доступным таким больным.Мы использовали сочетание открытых и малоинвазивных методик, направленных на сохранение функции почек, включая открытую резекцию почки и лапароскопическую криотерапию. По прошествии 5 лет наблюдения пациент не имеет признаков болезни и ему не требуется проведение гемодиализа.Двусторонние опухоли почек встречаются нередко и могут представлять значительную проблему при выборе методов лечения с учетом необходимости сохранения функции почек. Результаты лечения можно улучшить при использовании мультимодального подхода, включающего малоинвазивные и открытые процедуры.

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Метахронный, синхронный, опухоль почки, почечно-клеточный рак, объемные образо- вания в почке, криотерапия, резекция почки, радикальная нефрэктомия

Короткий адрес: https://sciup.org/14045400

IDR: 14045400

Список литературы Мультимодальное лечение двусторонних опухолей почек как способ улучшения онкологических и функциональных результатов: клинический случай и обзор литературы

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