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A case of port-site recurrence and locoregional metastasis after laparoscopic partial nephrectomy

Nature Clinical Practice Urology volume 5, pages 345–349 (2008)Cite this article

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.

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Figure 1: Preoperative CT scan of the case patient.
Figure 2: Preoperative CT scan of the patient presented in Box 1.

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Authors and Affiliations

  1. TA Masterson is a Fellow and P Russo is a Professor of Urologic Oncology at the Sidney Kimmel Center for Prostate and Urologic Cancers, Memorial Sloan–Kettering Cancer Center, New York, NY, USA.,

    Timothy A Masterson & Paul Russo

Authors
  1. Timothy A Masterson
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  2. Paul Russo
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Correspondence to Paul Russo.

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The authors declare no competing financial interests.

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Masterson, T., Russo, P. A case of port-site recurrence and locoregional metastasis after laparoscopic partial nephrectomy. Nat Rev Urol 5, 345–349 (2008). https://doi.org/10.1038/ncpuro1127

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