Bilateral Renal Auto-Transplantation for Retroperitoneal Sarcomas: Is It Underutilized?

Bilateral Renal Auto-Transplantation for Retroperitoneal Sarcomas: Is It Underutilized?
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DOI:
10.3390/curroncol30080552
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发表时间:
2023-08-14
期刊:
影响因子:
2.6
通讯作者:
Koniaris, Leonidas G.
Koniaris, Leonidas G.
中科院分区:
医学4区
文献类型:
--
作者:
Robinson, Tyler P.;Milgrom, Daniel P.;Nagaraju, Santosh;Goggins, William C.;Samy, Kannan P.;Koniaris, Leonidas G.

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Sarcomas are a rare tumor of mesenchymal origin. The liposarcoma is the most common sarcoma of the retroperitoneum. Liposarcomas are typically low grade, and present at an advanced stage and a large size. We report a case of a large retroperitoneal liposarcoma, approximately 50 kg, encasing both kidneys, which was managed via a two-stage resection and staged renal auto-transplantation into the intra-peritoneal pelvis. The patient maintained normal renal function throughout, and remains disease free two years post-resection. Renal auto-transplantation with pelvic placement may facilitate improved margin-free resection. Renal relocation may allow the use of curative-intent ablative therapies such as radiofrequency ablation and radiation in cases of retroperitoneal recurrence.
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