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Rational approach to the treatment of a patient with a small renal cortical tumor

Nature Clinical Practice Urology volume 4, pages 688–691 (2007)Cite this article

Abstract

Background A 64-year-old man with a history of hypertension and type II diabetes mellitus presented to his primary care physician for his annual health examination. Renal ultrasonography revealed a solid right renal mass, which was confirmed by MRI. The initial consultant recommended laparoscopic radical nephrectomy. The patient sought a second opinion.

Investigations Physical examination, baseline serum creatinine level, urine cytology, CT urogram and renal ultrasonography.

Diagnosis Centrally located subcortical tumor arising from the renal parenchyma.

Management Open partial nephrectomy. There were no intraoperative complications and the patient's postoperative course was uneventful.

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Figure 1: Baseline imaging studies.
Figure 2: Pathological analysis of the carcinoid.

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Author information

Authors and Affiliations

  1. and a former Fellow in Urologic Oncology at Memorial Sloan–Kettering Cancer Center. P Russo is an Attending Surgeon and Professor at the Department of Surgery, WC Huang is an Assistant Professor in Urology at New York University Medical Center, Urology Service, Memorial Sloan–Kettering Cancer Center, Weill Cornell College of Medicine, New York, NY, USA.,

    William C Huang & Paul Russo

Authors
  1. William C Huang
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  2. Paul Russo
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Correspondence to Paul Russo.

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The authors declare no competing financial interests.

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Huang, W., Russo, P. Rational approach to the treatment of a patient with a small renal cortical tumor. Nat Rev Urol 4, 688–691 (2007). https://doi.org/10.1038/ncpuro0970

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  • DOI: https://doi.org/10.1038/ncpuro0970

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