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Palliative laparoscopic resection of renal cell carcinoma metastatic to the stomach: report of a case.

Costa TN, Takeda FR, Ribeiro U, Cecconello I - World J Surg Oncol (2014)

Bottom Line: During her follow-up, an upper gastrointestinal (GI) endoscopy showed an ulcerated lesion at the stomach.A biopsy of the specimen revealed metastatic RCC.The patient underwent a palliative LWR and was discharged home 8 days after surgery.Therefore, LWR is a relatively simple technique with the advantages of minimal invasive access in the treatment of palliative cases.

View Article: PubMed Central - PubMed

Affiliation: Division of Digestive Surgery - Department of Gastroenterology, São Paulo State Cancer Institute - ICESP-HCFMUSP, University of Sao Paulo School of Medicine, Avenida Doutor Enéas de Carvalho, 255, São Paulo, SP, Brazil. thiagocosta2002@yahoo.com.br.

ABSTRACT
The most common sites of metastases in renal cell carcinoma (RCC) are lung and bone. However, unusual sites, including the stomach, are characteristic of RCC.This article presents a case of a metastatic RCC (lung and liver) with a symptomatic gastric metastasis treated by a laparoscopic wedge resection (LWR).A 66-year-old woman, diagnosed with RCC underwent a right nephrectomy. During her follow-up, an upper gastrointestinal (GI) endoscopy showed an ulcerated lesion at the stomach. A biopsy of the specimen revealed metastatic RCC. The patient underwent a palliative LWR and was discharged home 8 days after surgery.Therefore, LWR is a relatively simple technique with the advantages of minimal invasive access in the treatment of palliative cases.

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Macroscopic view. Macroscopic appearance of resected specimen. a: posterior view b: anterior view c: open view.
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Fig3: Macroscopic view. Macroscopic appearance of resected specimen. a: posterior view b: anterior view c: open view.

Mentions: Because of the persisting symptoms, she underwent a palliative laparoscopic wedge resection with an auxiliary incision (3 cm) in the beginning of February 2012.The product of resection was a gastric segment measuring 8.0 × 5.8 × 2.3 cm, and the lesion, which measured 5.3 × 2.2 × 2.3 cm, was ulcerated and covered with fibrin (Figure 3a-c). The histopathological study of the specimen showed margins free of tumor and no perineural invasion. Immunohistochemistry indicated positive Cytokeratin AE1/3, positive CD10, positive CK 7 and positive vimentin.Figure 3


Palliative laparoscopic resection of renal cell carcinoma metastatic to the stomach: report of a case.

Costa TN, Takeda FR, Ribeiro U, Cecconello I - World J Surg Oncol (2014)

Macroscopic view. Macroscopic appearance of resected specimen. a: posterior view b: anterior view c: open view.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4364342&req=5

Fig3: Macroscopic view. Macroscopic appearance of resected specimen. a: posterior view b: anterior view c: open view.
Mentions: Because of the persisting symptoms, she underwent a palliative laparoscopic wedge resection with an auxiliary incision (3 cm) in the beginning of February 2012.The product of resection was a gastric segment measuring 8.0 × 5.8 × 2.3 cm, and the lesion, which measured 5.3 × 2.2 × 2.3 cm, was ulcerated and covered with fibrin (Figure 3a-c). The histopathological study of the specimen showed margins free of tumor and no perineural invasion. Immunohistochemistry indicated positive Cytokeratin AE1/3, positive CD10, positive CK 7 and positive vimentin.Figure 3

Bottom Line: During her follow-up, an upper gastrointestinal (GI) endoscopy showed an ulcerated lesion at the stomach.A biopsy of the specimen revealed metastatic RCC.The patient underwent a palliative LWR and was discharged home 8 days after surgery.Therefore, LWR is a relatively simple technique with the advantages of minimal invasive access in the treatment of palliative cases.

View Article: PubMed Central - PubMed

Affiliation: Division of Digestive Surgery - Department of Gastroenterology, São Paulo State Cancer Institute - ICESP-HCFMUSP, University of Sao Paulo School of Medicine, Avenida Doutor Enéas de Carvalho, 255, São Paulo, SP, Brazil. thiagocosta2002@yahoo.com.br.

ABSTRACT
The most common sites of metastases in renal cell carcinoma (RCC) are lung and bone. However, unusual sites, including the stomach, are characteristic of RCC.This article presents a case of a metastatic RCC (lung and liver) with a symptomatic gastric metastasis treated by a laparoscopic wedge resection (LWR).A 66-year-old woman, diagnosed with RCC underwent a right nephrectomy. During her follow-up, an upper gastrointestinal (GI) endoscopy showed an ulcerated lesion at the stomach. A biopsy of the specimen revealed metastatic RCC. The patient underwent a palliative LWR and was discharged home 8 days after surgery.Therefore, LWR is a relatively simple technique with the advantages of minimal invasive access in the treatment of palliative cases.

Show MeSH
Related in: MedlinePlus