Retroperitoneal drop metastases following robotic partial nephrectomy for renal cell carcinoma

Rare retroperitoneal recurrence of clear cell renal cell carcinoma highlights the risk of tumor violation during surgery. A 61-year-old female with recurrent RCC in the retroperitoneum is presented six years after partial nephrectomy. Initial surveillance CT revealed a renal cyst and subsequent imag...

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Bibliographic Details
Main Authors: Kareem Elgendi, David Nelwan, Richard Barry Sirard, III, Shayan Falasiri, Trushar Patel
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S221444202300164X
Description
Summary:Rare retroperitoneal recurrence of clear cell renal cell carcinoma highlights the risk of tumor violation during surgery. A 61-year-old female with recurrent RCC in the retroperitoneum is presented six years after partial nephrectomy. Initial surveillance CT revealed a renal cyst and subsequent imaging confirmed clear cell RCC. Multiple small lesions indicated retroperitoneal recurrence. Surgical excision confirmed metastatic clear cell RCC. The proximity of the recurrence to the lower pole of the primary tumor suggests tumor violation as the cause. Respecting tumor boundaries during surgery is crucial to prevent metastasis and improve patient survival.
ISSN:2214-4420