%A Ji-rui Niu, Quan-zong Mao, and Zhi-gang Ji %T Open Partial Nephrectomy in Solitary Kidney with Multiple Renal Cell Carcinoma: a Case Report %0 Journal Article %D 2011 %J Chinese Medical Sciences Journal %R 10.1016/S1001-9294(12)60010-8 %P 249-250 %V 26 %N 4 %U {http://cmsj.cams.cn/CN/abstract/article_95.shtml} %8 2011-12-30 %X RENAL cell carcinoma (RCC) in a solitary kidney presents a unique clinical challenge to urolo- gical surgeons. Partial nephrectomy (PN) or nephron-sparing surgery in this condition provides good oncological and renal fuctional outcomes with an acceptable complication rate.Long-term renal function remains stable in most patients with solitary kidneys after a reduction of more than 50% in renal mass.PN is a surgical procedure reserved for patients with a tumor in a solitary kidney, bilateral renal tumors, or renal function impairment.The challenge of preserving renal parenchyma is significantly complicated with the discovery of multiple masses in a solitary kidney because any subsequent complications may result in a significant decline in quality of life. Particularly in the case of postoperative renal failure, dialysis becomes necessary.