1987 Volume 78 Issue 5 Pages 912-916
Three patients with bilateral renal cell carcinoma were treated surgically during a 13 year period in Fukuoka University Hospital. One patient, 47 year-old male, treated by bilateral nephrectomy with subsequent hemodialysis died, free of malignancy, of a metabolic disease caused by hemodialysis 5 years postoperatively. The remaining 2 patients, 64 year-old male and 71 year-old female, treated by parenchyme-preserving surgery, which is partial nephrectomy and tumor enucleation, are well without evidence of disease in a follow-up ranged from 2 years and 8 months to 7 years.
Although various surgical procedures for bilateral renal cell carcinoma are available, partial nephrectomy can yield excellent tumor control and enucleative surgery is also a viable option in selected patients.