Bilateral Renal Cell Carcinoma and Renal Cell Carcinoma in the Solitary Kidney

Smith, Robert B.
deKernion, Jean B.
Ehrlich, Richard M.
Skinner, Donald G.
Kaufman, Joseph J.

From the Department of Surgery/Urology, UCLA School of Medicine and Section of Urology, Wadsworth Veterans Administration Hospital, Los Angeles, California

^*Current address: Department of Surgery/Urology, University of Southern California Medical Center, Los Angeles, California 90033.

Accepted January 27, 1984.

Read at annual meeting of American Urological Association, Boston, Massachusetts, May 10-14, 1981.

Supported in part by the Blalock Foundation.

Journal of Urology 132(3):p 450-453, September 1984. | DOI: 10.1016/S0022-5347(17)49687-X

ABSTRACT

We report on 43 patients with renal cell carcinoma in a solitary kidney, 39 of whom underwent a potentially curative resection. Of 36 patients who had a nephron salvaging procedure only 4 required ex vivo surgical resection. The survival curves of patients with solitary or bilateral lesions are similar, and depend more on the adequacy of tumor resection and tumor stage than on the fate of the contralateral kidney. Crude survival in this series was 64 per cent for patients followed for more than 1 year.