Displacement of the Spleen Mimicking Renal Cell Cancer Recurrence Post-Nephrectomy: A Case Report.

Autor: Emanuels CS; Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA., Timmerman KD; Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA., Aijaz T; Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA., Nguyen TC; Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA., Jest N; Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA., Drane WE; Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA., Gilbert SM; Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA., Crispen PL; Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA., Su LM; Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA., Deitte LA; Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA., Dang LH; Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA.
Jazyk: angličtina
Zdroj: Journal of kidney cancer and VHL [J Kidney Cancer VHL] 2015 Jun 20; Vol. 2 (3), pp. 130-133. Date of Electronic Publication: 2015 Jun 20 (Print Publication: 2015).
DOI: 10.15586/jkcvhl.2015.36
Abstrakt: Local regional recurrence of renal cell cancer post-nephrectomy most often occurs within three years after surgery. Post-nephrectomy, many processes may mimic RCC recurrence. We present the case of a 75 year-old Caucasian male patient with a mass in his renal fossa post-nephrectomy for renal cell cancer, suggesting local recurrence. Use of the technetium-99m sulfur colloid scan showed that the mass was his spleen which had been displaced into the renal fossa. With high index of suspicion, characterization of these processes as splenic in origin would prevent subjecting patients to risks of biopsy or even surgery.
Databáze: MEDLINE