Recurrent renal cell cancer presenting as gastrointestinal bleed
Autor: | Jonathan Wright, Stephen K Landas, Subhraleena Das, Sujith V. Cherian, Srivalli Gopaluni, Amarinder Singh Garcha |
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Rok vydání: | 2011 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Gastroenterology Case Report Disease medicine.disease Malignancy urologic and male genital diseases Nephrectomy medicine.anatomical_structure Oncology Melena Renal cell carcinoma Internal medicine Duodenum medicine Abdomen medicine.symptom business Recurrent renal cell cancer |
Zdroj: | World journal of gastrointestinal oncology. 3(6) |
ISSN: | 1948-5204 |
Popis: | We present an unusual case of renal cell cancer (RCC) which relapsed with duodenal metastasis and unveiled itself by gastrointestinal (GI) bleeding. An 80-year old Caucasian gentleman with history of renal cell cancer status post nephrectomy 11 mo previously, presented with syncope and melena. Computed tomography scan of the abdomen revealed heterogeneous soft tissue mass in the right nephrectomy bed invading the duodenum. Upper GI endoscopic biopsy confirmed the presence of recurrent renal cell cancer. However, due to extensive metastatic disease, the patient was placed on palliative chemotherapy as surgical options were ruled out. Our case report reiterates the fact that renal cell carcinoma can recur with gastrointestinal manifestations and, although a rarity, it should be considered in a patient with a history of malignancy who presents with these symptoms. |
Databáze: | OpenAIRE |
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