A Plea for Conservation of Kidney in Renal Adenocarcinoma Associated with Von Hippel-Lindau Disease

Abstract

Three cases of bilateral renal cell carcinoma associated with von Hippel-Lindau disease are reported. Treatment consisted of local excision or simply shelling out of the lesion from the surrounding tissue. The 3 patients are free of disease (follow-up 6-36 mo.). Although multifocal, the lesions are removed easily; normal renal function is preserved and patients are spared the morbidity and mortality associated with hemodialysis or transplantation.