A case of port-site recurrence and locoregional metastasis after laparoscopic partial nephrectomy Journal Article
| Authors: | Masterson, T. A.; Russo, P. |
| Article Title: | A case of port-site recurrence and locoregional metastasis after laparoscopic partial nephrectomy |
| Abstract: | Background: A 63-year-old man underwent hand-assisted laparoscopic partial nephrectomy for a 4.5 cm right renal mass, pathologically confirmed as type 2 papillary renal cell carcinoma (RCC). Two years later he was referred to a specialist oncology center after routine follow-up raised suspicion for metastatic disease. Investigations: Physical examination, CT, PET, laboratory analysis of blood and stool samples, fine needle aspiration of the hand-assist site, and colonoscopy with biopsy. Diagnosis: Locoregional metastatic papillary RCC with port-site metastasis. Management: The patient underwent excision of his port-site and intra-abdominal recurrences, right hemicolectomy and cholecystectomy. Pathologic examination revealed metastatic papillary RCC at all sites. After a disease-free interval of 12 months, the patient was found to have radiographic evidence of recurrent disease in the liver and peritoneum. |
| Keywords: | adult; human tissue; aged; histopathology; case report; postoperative period; positron emission tomography; recurrent cancer; follow-up studies; laparoscopy; laparoscopic surgery; metastasis; computer assisted tomography; neoplasm recurrence, local; tomography, x-ray computed; kidney carcinoma; kidney neoplasms; nephrectomy; partial nephrectomy; carcinoma, renal cell; colonoscopy; colon tumor; biopsy, fine-needle; metastasis potential; aspiration biopsy; cholecystectomy; hemicolectomy; feces analysis; neoplasm seeding; small intestine tumor; abdominal tumor; cecum tumor; kidney colic; port site metastasis; laparoscopes |
| Journal Title: | Nature Clinical Practice Urology |
| Volume: | 5 |
| Issue: | 6 |
| ISSN: | 1743-4270 |
| Publisher: | Nature Publishing Group |
| Date Published: | 2008-06-01 |
| Start Page: | 345 |
| End Page: | 349 |
| Language: | English |
| DOI: | 10.1038/ncpuro1127 |
| PUBMED: | 18490937 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 2" - "Export Date: 17 November 2011" - "Source: Scopus" |
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