Rationale for total nephrectomy for suspected renal cell carcinoma

Abstract

This article discusses the data surrounding a comparison of radical nephrectomy with nephron-sparing surgery in renal car carcinoma with an emphasis on patients with renal cell carcinoma who have normal renal function and contralateral normal anatomy and with special reference to the "case" presentation, which involves a small hilar lesion. The discussion argues in favor of radical nephrectomy in most of these cases.