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

World Journal of Surgical Oncology

Ivan Cecconello¹  Ulysses Ribeiro¹  Flavio Roberto Takeda¹  Thiago Nogueira Costa¹ 

[1] 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

关键词: palliative;    metastasis;    renal cell carcinoma;    stomach;    laparoscopic wedge resection;   

Others  :  1146819
DOI  :  10.1186/1477-7819-12-394

 received in 2014-02-05, accepted in 2014-07-20,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Costa et al.; licensee BioMed Central.

【 图 表 】

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【 参考文献 】

• [1]Cohen HT, McGovern FJ: Renal-cell carcinoma. N Engl J Med 2005, 353:265.
• [2]Menuck LS, Amberg JR: Metastatic disease involving the stomach. Am J Dig Dis 1975, 20:903-913.
• [3]Campoli PM, Ejima FH, Cardoso DM, Silva OQ, Santana Filho JB, Queiroz Barreto PA, Machado MM, Mota ED, Araujo Filho JA, Alencar Rde C, Mota OM: Metastatic cancer to the stomach. Gastric Cancer 2006, 9:19-25.
• [4]Sullivan WG, Cabot EB, Donohue RE: Metastatic renal cell carcinoma to stomach. Urology 1980, 15:375-378.
• [5]Pollheimer MJ, Hinterleitner TA, Pollheimer VS, Schlemmer A, Langner C: Renal cell carcinoma metastatic to the stomach: single-centre experience and literature review. BJU Int 2008, 102:315-319.
• [6]Saidi RF, Remine SG: Isolated gastric metastasis from renal cell carcinoma 10 years after radical nephrectomy. J Gastroenterol Hepatol 2007, 22:143-144.
• [7]Haffner J, Morel JF, Maunoury V, Caty A, Biserte J, Villers A: Gastric or duodenal metastases from clear cell renal cell carcinoma. Report of two cases and review of the literature. Prog Urol 2007, 17:1305-1309.
• [8]Kibria R, Sharma K, Ali SA, Rao P: Upper gastrointestinal bleeding revealing the stomach metastases of renal cell carcinoma. J Gastrointest Cancer 2009, 40:51-54.
• [9]Sakurai K, Muguruma K, Yamazoe S, Kimura K, Toyokawa T, Amano R, Kubo N, Tanaka H, Yashiro M, Ohira M, Hirakawa K: Gastric metastasis from renal cell carcinoma with gastrointestinal bleeding: a case report and review of the literature. Int Surg 2014, 99:86-90.
• [10]Eslick GD, Kalantar JS: Gastric metastasis in renal cell carcinoma: a case report and systematic review. J Gastrointest Cancer 2011, 42:296-301.
• [11]Green LK: Hematogenous metastases to the stomach. Cancer 1990, 65:1596-1600.
• [12]Blake M, Owens A, Donoghue DP, MacErlean DP: Embolotheraphy for massive upper gastrointestinal haemorrhage secondary to metastatic renal cell carcinoma: report of three cases. Gut 1995, 37:835-837.
• [13]Picchio M, Paioletti A, Santini E, Iacoponi S, Cordahi M: Gastric metastasis from renal cell carcinoma four − teen years after radical nephrectomy. Acta Chir Belg 2000, 100:228-230.
• [14]Lamb GW, Moss J, Edwards R, Aitchison M: Octreotide as an adjunct to embolization in the management of recurrent bleeding upper gastrointestinal metastases from primary renal cell cancer. Int Urol Nephrol 2005, 37:691.
• [15]Patel PH, Chaganti RSK, Motzer RJ: Targeted therapy for metastatic renal cell carcinoma. Br J Cancer 2006, 94:614-619.
• [16]Pezzoli A, Matarese V, Boccia S, Simone L, Gullini S: Gastrointestinal bleeding from gastric metastasis of renal cell carcinoma, treated by endoscopic polypectomy. Int J Surg Case Rep 2012, 3:601-604.
• [17]Klatte T, Kroeger N, Zimmermann U, Burchardt M, Belldegrun AS, Pantuck AJ: The contemporary role of ablative treatment approaches in the management of renal cell carcinoma (RCC): focus on radiofrequency ablation (RFA), high-intensity focused ultrasound (HIFU), and cryoablation. World J Urol 2014, 32:597-605. Epub 2014 Apr 4
• [18]Kim MY, Jung HY, Choi KD, Song HJ, Lee JH, Kim DH, Choi KS, Kim SA, Lee GH, Kim JH: Solitary synchronous metastatic gastric cancer arising from t1b renal cell carcinoma: a case report and systematic review. Gut Liver 2012, 6:388-394.
• [19]Date RS, Griffiths EA, Pritchard SA, McL Welch I: Combined endoscopic and laparoscopic approach for palliative resection of metastatic melanoma of the stomach. World J Surg Oncol 2006, 4:20. BioMed Central Full Text
• [20]Galloway SW, Yeung EC, Lau JY, Chung SC: Laparoscopic gastric resection for bleeding metastatic choriocarcinoma. Surg Endosc 2001, 15:100.
• [21]Hernandez DJ, Kavoussi LR, Ellison LM: Laparoscopic distal pancreatectomy for metastatic renal cell carcinoma. Urology 2003, 62:551.
• [22]Otani Y, Ohgami M, Igarashi N, Kimata M, Kubota T, Kumai K, Kitajima M, Mukai M: Laparoscopic wedge resection of gastric sub mucosal tumors. Surg Laparosc Endosc Percutan Tech 2000, 10:19-23.
• [23]Kitano S, Shiraishi N: Current status of laparoscopic gastrectomy for cancer in Japan. Surg Endosc 2004, 18:182-185.