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Surgical Resection for Management of Renal Cancer with Hepatic Involvement

1995; Lippincott Williams & Wilkins; Volume: 154; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(01)66948-9

1527-3792

Brian Bennett, Rick Selby, Robert R. Bahnson,

Urinary and Genital Oncology Studies

No AccessJournal of UrologyClinical Urology: Original Article1 Sep 1995Surgical Resection for Management of Renal Cancer with Hepatic Involvement Brian C. Bennett, Rick Selby, and Robert R. Bahnson Brian C. BennettBrian C. Bennett , Rick SelbyRick Selby , and Robert R. BahnsonRobert R. Bahnson View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66948-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: More than 900 patients who underwent hepatic resections were reviewed to identify those whose liver resections were due to involvement by renal cell carcinoma. Materials and Methods: Three patients with direct hepatic extension of the renal cell cancer underwent radical nephrectomy with en bloc partial hepatectomy, while 1 with a metachronous recurrence 3 years after nephrectomy underwent right triple lobe hepatectomy. There were no postoperative complications. Results: Of the en bloc resections 2 showed sarcomatoid features on histopathological examination. These patients experienced rapid disease progression and died. The remaining 2 patients with typical clear cell carcinoma have no evidence of disease. Conclusions: Experience with these 4 patients has demonstrated that hepatic resection is technically feasible and associated with acceptable morbidity rates. Surgical management should be considered in patients with the uncommon presentation of renal cell carcinoma and localized hepatic involvement. References 1 : Renal, perineal and ureteral neoplasms.. In: . Chicago: Yearbook Medical Publishers1987: 513. Google Scholar 2 : Renal tumors. In: . : W. B. Saunders Co.1986: 1294. Google Scholar 3 : Distant metastasis of renal adenocarcinoma. Cancer1981; 48: 1487. Google Scholar 4 : The radiologic evaluation of the patient with renal cancer. Urol. Clin. N. Amer.1993; 20: 231. Google Scholar 5 : Renal adenocarcinoma: CT staging of 100 tumors. 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