Is Near Infrared Fluorescence Imaging Using Indocyanine Green Dye Useful in Robotic Partial Nephrectomy: A Prospective Comparative Study of 94 Patients

Urology ◽  
2012 ◽  
Vol 80 (1) ◽  
pp. 110-118 ◽  
Author(s):  
L. Spencer Krane ◽  
Theodore B. Manny ◽  
Ashok K. Hemal
2013 ◽  
Vol 6 (2) ◽  
Author(s):  
Timil H. Patel ◽  
S. Joseph Sirintrapun ◽  
Ashok K. Hemal

Renal epithelioid angiomyolipoma (E-AML) is a rare variant of angiomyolipoma (AML). It is a mesenchymal tumour believed to originate from the perivascular epithelioid cell (PEC). Unlike conventional AML which are benign, E-AML has a rare aggressive behaviour. Conventional AML is typically triphasic containing adipose tissue, smooth muscle and dystrophic vessels in variable proportions, while E-AML are generally composed of plump spindled and polygonal-shaped “epithelioid cells” showing clear or eosinophilic cytoplasm and occasional pleomorphic multinucleated giant cells. E-AML can be misdiagnosed as renal cell carcinoma (RCC) when these “epithelioid cells” show clearing. Only a small number of cases of E-AML have been reported with the standard treatment being radical or partial nephrectomy. We report the first case report of a surgeon-controlled robotic partial nephrectomy using a near infrared fluorescence imaging using indocyanine green dye on a 25-year-old woman with a T1B (6.6 cm) right renal mass. The final pathology revealed the diagnosis of E-AML. There was no recurrence and metastases after the 6-month follow-up.


2012 ◽  
Vol 111 (4) ◽  
pp. 604-610 ◽  
Author(s):  
Michael S. Borofsky ◽  
Inderbir S. Gill ◽  
Ashok K. Hemal ◽  
Tracy P. Marien ◽  
Isuru Jayaratna ◽  
...  

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