60 years old man had right nephrectomy 7 years ago presented with Left renal hilar mass of 5cm, in contact to renal vessels, with other 5cm mass in the left suprarenal?
what to do?
I told him that we can try enoculation but there is still A risk of recurrent, and risk of renal vessels injury. As well we dont know If the supra renal mass is a primary or secondary, as well the fate of other supra renal gland...
Thanks For being here.
Exclude the distant metastases and do partial nephrectomy + suprarenal mass excision with consent for radical + post op dialysis... Need multidisciplinary approach
Thats what should be done as well, we should ask for vascular surgeon help, If there was A need for repair of injured major vessels.
Regards
The biopsy of the removed kidney done before 20 years, and not avoidable know, No one know what was the diagnosis.
If we don't know the pathology of the removed kidney and the tumour is solid, i'd do a biopsy first and - if negative - a re-CT scan in 6-8 weeks. If it's maligne, go for kidney-sparing surgery but inform the patient about possible loss of kidney and dialysis
I think renal biopsy helpful and up on its result, we will take adecision
the Nephrectomy @7years ago, was it Radical or Simple?..
..an abdominoPelvic CT or MRI wound be beneficial, to outline/characterise d tumor, determine extent and stage the disease