A 40 yr old patient with a single kidney presents with a solitary exophytic mass of 4 cm localized at its lower pole. Which amongst the following is the best recommended management option:: (A) Radical nephrectomy, (B) Radical nephrectomy with dialysis, (C) Radical nephrectomy with renal transplantation, (D) Paial nephrectomy
Answer is D. Ans is 'd' i.e. Paial nephrectomy Paial nephrectomy is the preferred surgical approach for a small ( Paial nephrectomy should be considered in the following clinical situations: Renal masses less than 4cm (T1) Localized mass in a patient with a single kidney or with compromised renal function. Synchronous bilateral renal tumors Patients with Von-Hippel-Lindau syndrome as they are at high risk of renal cancer in the contralateral kidney