Picciocchi A, D'ugo D, Bruni V, Lemmo G
Université catholique du Sacré-Coeur, Faculté de Médecine et Chirurgie, Hôpital Universitaire A. Gemelli, Roma, Italie.
J Urol (Paris). 1987;93(9-10):517-21.
Review of a very well documented case with a very complete iconography, and of the literature led to the following conclusions. First, it is preferable to treat these patients by a one-stage operation involving nephrectomy on one side and, if possible, conservative treatment to other kidney. Second, that the prognosis in synchronous bilateral renal cancer is much better than that of metachronous bilateral cancers (5-year survival 69% and 37.5% respectively), probably because the former are usually of low grade and early stage. This justifies the most audacious surgical tentatives and, in this respect, this paper is of very high interest.
对一个记录非常完备且影像学资料非常齐全的病例以及相关文献进行回顾后得出了以下结论。首先，对于这些患者，更可取的治疗方式是一期手术，即一侧肾切除术，并且如果可能的话，对另一侧肾脏进行保守治疗。其次，同时性双侧肾癌的预后比异时性双侧肾癌要好得多（5年生存率分别为69%和37.5%），这可能是因为前者通常分级较低且处于早期阶段。这证明了最大胆的手术尝试是合理的，在这方面，本文具有很高的价值。
