Major indications for partial nephrectomy in Renal Cell carcinoma

What are the major indications for partial nephrectomy in patients with RCC?

Partial nephrectomy is used whenever possible to maximally preserve renal function. It is predominantly used when there is:

  • • Tumor size <4 cm (although some surgeons will treat tumors up to 7 cm in size with nephron sparing techniques).
  • • Peripheral tumor location.
  • • Polar tumor location.
  • • Lack of renal sinus fat or collecting system involvement by tumor.
  • • Lack of venous extension of tumor.
  • • Presence of contralateral renal disease.
  • • Presence of a solitary functioning kidney.

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