Мультимодальное лечение двусторонних опухолей почек как способ улучшения онкологических и функциональных результатов: клинический случай и обзор литературы
https://doi.org/10.18027/2224-5057-2011-1-21-28
Аннотация
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.
Об авторах
JENNIFER YATES
Department of Urology, Hackensack University Medical Center, 360 Essex Street, Suite 403, Hackensack, NJ 07601, United States. Tel. +1 201 336-8090
Соединённые Штаты Америки
Соединённые Штаты Америки
RAVI MUNVER
Hackensack University Medical Center, Hackensack, NJ;
Touro University College of Medicine, NY;
University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, NJ, United States
Соединённые Штаты Америки
Соединённые Штаты Америки
DAVID CRAWLEY
University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, NJ, United States
Соединённые Штаты Америки
Соединённые Штаты Америки
THOMAS CHRISTIANO
University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, NJ, United States
Соединённые Штаты Америки
Соединённые Штаты Америки
IHOR SAWCZUK
Hackensack University Medical Center, Hackensack, NJ;
Touro University College of Medicine, NY;
University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, NJ, United States
Соединённые Штаты Америки
Соединённые Штаты Америки
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Рецензия
Для цитирования:
YATES J., MUNVER R., CRAWLEY D., CHRISTIANO T., SAWCZUK I. Мультимодальное лечение двусторонних опухолей почек как способ улучшения онкологических и функциональных результатов: клинический случай и обзор литературы. Злокачественные опухоли. 2011;1(1):21-28. https://doi.org/10.18027/2224-5057-2011-1-21-28
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