Özet :

Radical nephrectomy is still considered the standard treatment for clinical T2 (cT2) tumors, but available data mention the potential role of partial nephrectomy in large renal tumors (≥cT2) in selected cases. Because of the increased risk of complications in large masses, the decision for partial nephrectomy should be taken together with an experienced surgeon and a multidisciplinary team. We report two cases with giant renal tumor, that partially resected and final histopathological examination revealed papillary renal cell carcinoma. Considering the risk of developing kidney failure secondary to diabetes and hypertension in both our patients, partial nephrectomy was initially considered and successfully treated with nephron-sparing surgery.