Robot-assisted ipsilateral partial nephrectomy with distal ureterectomy for synchronous renal and ureteric tumors—a case report
Abstract Background Ipsilateral synchronous renal and ureteric tumor is uncommon. Nephron sparing surgery is the standard for small renal masses. Ureteric tumors can be selectively managed with nephron sparing surgery, especially in renal dysfunction. This case report details the management of doubl...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-11-01
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| Series: | Journal of the Egyptian National Cancer Institute |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43046-022-00151-2 |
| _version_ | 1811315367765606400 |
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| author | Anandan Murugesan |
| author_facet | Anandan Murugesan |
| author_sort | Anandan Murugesan |
| collection | DOAJ |
| description | Abstract Background Ipsilateral synchronous renal and ureteric tumor is uncommon. Nephron sparing surgery is the standard for small renal masses. Ureteric tumors can be selectively managed with nephron sparing surgery, especially in renal dysfunction. This case report details the management of double malignancy by nephron sparing surgery with robot-assisted approach. Case report A 63-year-old gentleman with diabetes presented with history of intermittent gross hematuria for 2 weeks. He was clinically normal. On evaluation, he had grade 4 renal dysfunction (Se. creatinine 4.5 mg%) with mild proteinuria. Magnetic resonance imaging revealed right renal upper polar Bosniak III lesion and right hydroureteronephrosis due to 2 cm ureteric tumor near the vessel crossing. Renogram showed overall GFR of 22 ml/min with 31% (6 ml/min) contribution from the right side. He underwent robot-assisted right partial nephrectomy with distal ureterectomy and Boari flap ureteric reimplantation. Histopathology revealed margins free T2 clear cell carcinoma (kidney) and high-grade T3 transitional cell carcinoma (ureter). His nadir creatinine at 1 year follow-up was 3.3 mg% and no recurrence on MRI, cystoscopy, and ureteroscopy at 1 year. Conclusion Minimally invasive nephron sparing surgery is feasible and reasonable option with satisfactory oncological control even in ipsilateral synchronous renal and ureteric tumors in selected patients with renal dysfunction. |
| first_indexed | 2024-04-13T11:30:06Z |
| format | Article |
| id | doaj.art-c7f1ee04b1b34652a2cf7b94e8f8ddae |
| institution | Directory Open Access Journal |
| issn | 2589-0409 |
| language | English |
| last_indexed | 2024-04-13T11:30:06Z |
| publishDate | 2022-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of the Egyptian National Cancer Institute |
| spelling | doaj.art-c7f1ee04b1b34652a2cf7b94e8f8ddae2022-12-22T02:48:36ZengSpringerOpenJournal of the Egyptian National Cancer Institute2589-04092022-11-013411510.1186/s43046-022-00151-2Robot-assisted ipsilateral partial nephrectomy with distal ureterectomy for synchronous renal and ureteric tumors—a case reportAnandan Murugesan0Department of Urology, Kovai Medical Center and HospitalAbstract Background Ipsilateral synchronous renal and ureteric tumor is uncommon. Nephron sparing surgery is the standard for small renal masses. Ureteric tumors can be selectively managed with nephron sparing surgery, especially in renal dysfunction. This case report details the management of double malignancy by nephron sparing surgery with robot-assisted approach. Case report A 63-year-old gentleman with diabetes presented with history of intermittent gross hematuria for 2 weeks. He was clinically normal. On evaluation, he had grade 4 renal dysfunction (Se. creatinine 4.5 mg%) with mild proteinuria. Magnetic resonance imaging revealed right renal upper polar Bosniak III lesion and right hydroureteronephrosis due to 2 cm ureteric tumor near the vessel crossing. Renogram showed overall GFR of 22 ml/min with 31% (6 ml/min) contribution from the right side. He underwent robot-assisted right partial nephrectomy with distal ureterectomy and Boari flap ureteric reimplantation. Histopathology revealed margins free T2 clear cell carcinoma (kidney) and high-grade T3 transitional cell carcinoma (ureter). His nadir creatinine at 1 year follow-up was 3.3 mg% and no recurrence on MRI, cystoscopy, and ureteroscopy at 1 year. Conclusion Minimally invasive nephron sparing surgery is feasible and reasonable option with satisfactory oncological control even in ipsilateral synchronous renal and ureteric tumors in selected patients with renal dysfunction.https://doi.org/10.1186/s43046-022-00151-2Robotic partial nephrectomyRenal cancerTransitional cell cancerRobotic distalUreterectomyRenal dysfunction |
| spellingShingle | Anandan Murugesan Robot-assisted ipsilateral partial nephrectomy with distal ureterectomy for synchronous renal and ureteric tumors—a case report Journal of the Egyptian National Cancer Institute Robotic partial nephrectomy Renal cancer Transitional cell cancer Robotic distal Ureterectomy Renal dysfunction |
| title | Robot-assisted ipsilateral partial nephrectomy with distal ureterectomy for synchronous renal and ureteric tumors—a case report |
| title_full | Robot-assisted ipsilateral partial nephrectomy with distal ureterectomy for synchronous renal and ureteric tumors—a case report |
| title_fullStr | Robot-assisted ipsilateral partial nephrectomy with distal ureterectomy for synchronous renal and ureteric tumors—a case report |
| title_full_unstemmed | Robot-assisted ipsilateral partial nephrectomy with distal ureterectomy for synchronous renal and ureteric tumors—a case report |
| title_short | Robot-assisted ipsilateral partial nephrectomy with distal ureterectomy for synchronous renal and ureteric tumors—a case report |
| title_sort | robot assisted ipsilateral partial nephrectomy with distal ureterectomy for synchronous renal and ureteric tumors a case report |
| topic | Robotic partial nephrectomy Renal cancer Transitional cell cancer Robotic distal Ureterectomy Renal dysfunction |
| url | https://doi.org/10.1186/s43046-022-00151-2 |
| work_keys_str_mv | AT anandanmurugesan robotassistedipsilateralpartialnephrectomywithdistalureterectomyforsynchronousrenalandureterictumorsacasereport |