ПАЦИЕНТЫ С ОНКОПАТОЛОГИЕЙ И МОЧЕКАМЕННОЙ БОЛЕЗНЬЮ ПОСТУПАЮТ В НМИЦ РАДИОЛОГИИ ЕЖЕМЕСЯЧНО

Doctors at the N.A. Lopatkin Research Institute of Urology and Interventional Radiology – the branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation, took on the treatment of a patient suffering from both kidney cancer and urolithiasis. Such two serious pathologies require not only advanced treatment methods, but also an individual approach.

At first, the 40-year-old patient was troubled by classic symptoms of urolithiasis: pain in the kidney area, problems with urination. During a routine ultrasound examination at his place of residence, he was diagnosed with urolithiasis.

The kidney stone was quite large (up to 2 cm) and had wedged into the entrance section of the ureter. Without hesitation, the man turned to the specialized N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology for consultation and treatment.

On a follow-up CT scan, the specialists not only confirmed the diagnosis of urolithiasis, but also found a malignant neoplasm in the same kidney. Given the impaired urine outflow and blockage of the organ by the stone, the surgeons decided to install a ureteral stent to prevent blockage of the kidney by the stone in the postoperative period.

“The main difficulty in treatment is that the kidney is susceptible to stone block and its natural function can be compromised. Surgery to remove the tumour must necessarily be performed after we are satisfied that there is no impairment of urine outflow from the kidney. We foresee possible problems associated with urolithiasis and, of course, try to prevent the risks of renal failure”- said K.M. Nyushko, operating surgeon and leading researcher at the Department of Oncourology, MD.

After stenting, the kidney block was removed, urine outflow was restored and a day later a laparoscopic kidney resection was performed and the malignant tumour was removed. ‘We plan to remove the stone in a month’s time. During this time, it is necessary for the scar to fully form in the area of the operation. This will allow us to safely perform percutaneous lithotripsy to pulverise the stone”, Kirill Mikhailovich notes.

Five days after the operation the patient was discharged home. Now his life is not threatened. “Patients with oncopathology and urolithiasis come to us monthly. My main advice is to undergo regular check-ups, even if nothing bothers you. It is desirable for all patients over 40 years of age to have an annual ultrasound scan of the abdominal cavity, and if suspected, a CT scan. It is important for men to have a marker for prostate specific antigen blood test, which can be done in any laboratory”- the doctor advised.