Key words: synchronous renal carcinoma; partial nephrectomy; renal cell carcinoma; contrast enhanced magnetic resonance imaging.
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There has been described a case of surgical management of bilateral synchronous renal carcinoma with metastatic brain lesions. The feature of the observation is tree-stage treatment: the initial resection of the secondary brain lesion followed by the left nephrectomy 14 days later and the right nephrectomy a month later. 40% right kidney was preserved. The patient required no substitution therapy in the postoperative period.