ISSN: 2476-2024

Diagnostic Pathology: Open Access
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  • Case Report   
  • Diagn Pathol Open 2015, Vol 1(1): 101
  • DOI: 10.4172/2476-2024.1000101

Bilateral Renal Masses with Different Histopathology Subtypes Treated by Laparoscopic Right Partial Nephrectomy and Bilateral Cryoablation-Results at 5 Years Follow-Up

Seguin Samuel1, Michel Carmel4, Claudio Jeldres4, Rabia Temmar2, Bui The Bao3 and Sabbagh Robert4*
1Department of Surgery, Urology Division, Université de Sherbrooke, Centre Hospitalier Universitaire de Sherbrooke, , Canada
2Department of Pathology, Université de Sherbrooke, Centre Hospitalier Universitaire de Sherbrooke, , Canada
3Department of Radiology, Université de Sherbrooke, Centre Hospitalier Universitaire de Sherbrooke, , Canada
4Department of Surgery, General Surgery Division, Université de Sherbrooke, Centre Hospitalier Universitaire de Sherbrooke, , Canada
*Corresponding Author : Sabbagh Robert, Associate Professor, Urology Division, Department of Surgery, Université de Sherbrooke, Centre Hospitalier Universitaire de Sherbrooke, Canada, Tel: (819) 346-1110 ext: 74595, Fax: (819) 820-6411, Email: robert.sabbagh@usherbrooke.ca

Received Date: Oct 02, 2015 / Accepted Date: Nov 10, 2015 / Published Date: Nov 15, 2015

Abstract

We present the case of a 54 year old man with a synchronous mass on each kidney with different renal cell carcinoma (RCC) subtypes and a normal renal function. He categorically refused to undergo radical nephrectomy and open partial nephrectomies. He underwent a laparoscopic right partial nephrectomy and then percutaneous CTguided bilateral cryoablation. A second percutaneous CT-guided course of cryoablation on the right mass was performed at 6 months post cryoablation for recurrence. Both chest and abdomen CT-Scan at 60 months follow up did not reveal any local recurrence or distant metastasis.

Although cryoablation is a feasible treatment option for RCC, the authors do not recommend it as a first line therapy in an otherwise healthy patient with normal renal function.

Keywords: Renal cell carcinoma (RCC); Surgical resection; 

Citation: Samuel S, Carmel M, Jeldres C, Temmar R, Bao BT, et al. (2015) Bilateral Renal Masses with Different Histopathology Subtypes Treated by Laparoscopic Right Partial Nephrectomy and Bilateral Cryoablation-Results at 5 Years Follow-Up. Diagn Pathol Open 1: 101. Doi: 10.4172/2476-2024.1000101

Copyright: ©2015 Samuel S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Review summary

  1. Kate Harper
    Posted on Aug 24 2016 at 3:01 pm
    The author discussed the clinical efficacy of cryoablation in the treatment of renal carcinomas. The author presented a case report of occurrence of renal cancer in a 54 years old man along with the histological subtypes as well as the application of cryoablation in the treatment procedure. The authors suggested that eventhough cryoablation is a feasible option for the first line of treatment but the reports of recurrence of the disease followed by cryoablation suggest that it should be avoided.
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