IN THE NAME OF GOD MEHRDAD MOHAMMADI MD Endourology and Laparoscopy 1.

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Transcript of IN THE NAME OF GOD MEHRDAD MOHAMMADI MD Endourology and Laparoscopy 1.

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IN THE NAME OF GOD MEHRDAD MOHAMMADI MDEndourology and Laparoscopy

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Case 1• A 30 years old woman with renal mass• partial nephrectomy: farvardin 1387• Papillary RCC, free surgical margins• gross hematuria: Tir 1388

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Partial Nephrectomy

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Partial Nephrectomy

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Partial Nephrectomy

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Partial Nephrectomy

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Partial Nephrectomy

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• Ureteroscopy and BX from pelvicalyceal system lesion revealed papilllary RCC

• Laparoscopic radical nephrectomy

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PATHOLOGY• ADENOCARCINOMA of renal pelvis• Invasion to renal fat parenchyma AND

preirenal fat• Stage:PT4• Ureteral margin: negative

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PATHOLOGY

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PATHOLOGY

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PATHOLOGY

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PATHOLOGY

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partial nephrectomy

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• LOCAL RECURRENCE• Imaging• Pathology• Surgery• Radiotherapy• Immunotherapy/chemotherapy• Conclusion

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