Ces Urol X:X | DOI: 10.48095/cccu2026004

Combination of systemic and surgical treatment in a patient with primarily inoperable renal cell carcinoma in a horseshoe kidney: the importance of multidisciplinary collaboration – updated results of 3-year follow-up

Jiří Herman1, Vladimír Študent jr.1, Aleš Vidlář1, Anežka Zemánková2, Igor Hartmann1
1 Urologická klinika LF UP a FN Olomouc
2 Onkologická klinika LF UP a FN Olomouc

Primarily inoperable, locally advanced renal cell carcinoma represents a significant challenge in uro-oncology. Although systemic therapy is not a standard component of treatment in this setting, in carefully selected patients it may lead to disease regression and enable subsequent surgical resection. We present updated results of a 3-year follow-up of a patient with an initially inoperable finding in whom systemic therapy created the conditions for a subsequent successful surgical intervention.

Keywords: renal cell carcinoma – systemic therapy – regression – surgical management

Received: December 11, 2025; Revised: February 2, 2026; Accepted: February 7, 2026; Prepublished online: March 3, 2026 


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