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Open Access 01-12-2014 | Case report

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

Authors: Thiago Nogueira Costa, Flavio Roberto Takeda, Ulysses Ribeiro Jr, Ivan Cecconello

Published in: World Journal of Surgical Oncology | Issue 1/2014

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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Cohen HT, McGovern FJ: Renal-cell carcinoma. N Engl J Med. 2005, 353: 265-10.1056/NEJMsa051249.CrossRef

Menuck LS, Amberg JR: Metastatic disease involving the stomach. Am J Dig Dis. 1975, 20: 903-913. 10.1007/BF01070875.CrossRefPubMed

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. 10.1007/s10120-005-0352-5.CrossRefPubMed

Sullivan WG, Cabot EB, Donohue RE: Metastatic renal cell carcinoma to stomach. Urology. 1980, 15: 375-378. 10.1016/0090-4295(80)90473-2.CrossRefPubMed

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. 10.1111/j.1464-410X.2008.07617.x.CrossRefPubMed

Saidi RF, Remine SG: Isolated gastric metastasis from renal cell carcinoma 10 years after radical nephrectomy. J Gastroenterol Hepatol. 2007, 22: 143-144. 10.1111/j.1440-1746.2006.04335.x.CrossRefPubMed

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. 10.1016/S1166-7087(07)78566-4.CrossRefPubMed

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. 10.1007/s12029-009-9074-y.CrossRefPubMed

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. 10.9738/INTSURG-D-13-00115.1.PubMedCentralCrossRefPubMed

10.

Eslick GD, Kalantar JS: Gastric metastasis in renal cell carcinoma: a case report and systematic review. J Gastrointest Cancer. 2011, 42: 296-301. 10.1007/s12029-010-9165-9.CrossRefPubMed

11.

Green LK: Hematogenous metastases to the stomach. Cancer. 1990, 65: 1596-1600. 10.1002/1097-0142(19900401)65:7<1596::AID-CNCR2820650724>3.0.CO;2-5.CrossRefPubMed

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. 10.1136/gut.37.6.835.PubMedCentralCrossRefPubMed

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.PubMed

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: 691-10.1007/s11255-005-0251-z.CrossRefPubMed

15.

Patel PH, Chaganti RSK, Motzer RJ: Targeted therapy for metastatic renal cell carcinoma. Br J Cancer. 2006, 94: 614-619.PubMedCentralPubMed

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. 10.1016/j.ijscr.2012.08.009.CrossRef

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. 10.1007/s00345-014-1284-7. Epub 2014 Apr 4CrossRefPubMed

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. 10.5009/gnl.2012.6.3.388.PubMedCentralCrossRefPubMed

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: 20-10.1186/1477-7819-4-20.PubMedCentralCrossRefPubMed

20.

Galloway SW, Yeung EC, Lau JY, Chung SC: Laparoscopic gastric resection for bleeding metastatic choriocarcinoma. Surg Endosc. 2001, 15: 100-PubMed

21.

Hernandez DJ, Kavoussi LR, Ellison LM: Laparoscopic distal pancreatectomy for metastatic renal cell carcinoma. Urology. 2003, 62: 551-CrossRefPubMed

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.PubMed

23.

Kitano S, Shiraishi N: Current status of laparoscopic gastrectomy for cancer in Japan. Surg Endosc. 2004, 18: 182-185. 10.1007/s00464-003-8820-7.CrossRefPubMed

Title: Palliative laparoscopic resection of renal cell carcinoma metastatic to the stomach: report of a case
Authors: Thiago Nogueira Costa
Flavio Roberto Takeda
Ulysses Ribeiro Jr
Ivan Cecconello
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: World Journal of Surgical Oncology / Issue 1/2014
Electronic ISSN: 1477-7819
DOI: https://doi.org/10.1186/1477-7819-12-394

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