Two patients with a renal cell carcinoma under went a partial nephrectomy. In both these cases the renal cell carcinoma had been detected incidentally and the lesion was a localized small tumor. Therefore, a partial nephrectomy was performed similarly, the tumor size was 1.8 x 1.7 cm in both cases, but the histologic grading was grade 1 in one case and grade 2 in the other though the stage was pT2VoNoMo, stage 1 in both. We thus consider it recommendable that a partial nephrectomy be performed not only in cases of a solitary or bilateral renal cell carcinoma but also in selected cases of a renal cell carcinoma with normal contralateral kidney.

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