SURGICAL TREATMENT OPTIONS OF ADVANCED KIDNEY CANCER

One of the priority directions in modern oncology is the use of various organ-preserving methods for kidney cancer, which make it possible to avoid a renophobic state while adhering to oncological principles of treatment.This paper presents a clinical observation demonstrating the potential of the surgical method in mono-mode in the treatment of metastatic kidney cancer.Patient B., 53 years old, diagnosed with left kidney cancer T2N0M0. Operation - radical left nephrectomy 2005. Progression 2015 metastases in the right kidney, pancreas. Operation - simultaneous extracorporeal resection of the right kidney with autotransplantation. Distal subtotal pancreas resection. Progression 2017 - metastases in the V rib on the left. Operation - removal of the tumor of the chest wall on the left with resection of the V rib. Progression 2018. Metastases to the right parotid salivary gland. Operation - resection of the parotid salivary gland. In the above observation, due to only the surgical method, it is possible to control the oncological process over a long period of time. Systemic drug therapy was required only with further progression and generalization of the tumor process.