Late onset metastasis from renal cell carcinoma masquerading as a gallbladder polyp
| Autor: | Ilias Vagios, Lysandros Karydakis, Eleandros Kyros, P Diamantopoulou, Athanasios Syllaios, Alexandros Papalampros, Spyridon Davakis, Afroditi Nonni, Evangelos Felekouras, D Goutas |
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| Rok vydání: | 2021 |
| Předmět: |
Pathology
medicine.medical_specialty Metastatic lesions Cholangiopancreatography Magnetic Resonance Late onset 030230 surgery urologic and male genital diseases Nephrectomy Metastasis Diagnosis Differential 03 medical and health sciences Polyps 0302 clinical medicine Renal cell carcinoma Gallbladder polyp Humans Medicine Cholecystectomy Carcinoma Renal Cell neoplasms Aged business.industry Gallbladder General Medicine medicine.disease Kidney Neoplasms female genital diseases and pregnancy complications Online Case Report Female Gallbladder Neoplasms Surgery Neoplasm Recurrence Local business |
| Zdroj: | Ann R Coll Surg Engl |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/rcsann.2020.0193 |
| Popis: | Renal cell carcinoma (RCC) accounts for approximately 3% of all adult malignancies. A third of people with RCC have metastatic lesions when diagnosed, and another third develop metachronous metastasis during follow-up or after surgical treatment. We report a case of gallbladder metastasis from clear-cell RCC in a 71-year-old woman 13 years after RCC of her right kidney. Preoperative imaging studies showed a suspicious, progressively enlarged gallbladder polyp. The patient underwent open cholecystectomy and lymph node dissection along the hepatoduodenal ligament. The pathology report was compatible with metastatic disease from the kidney that was previously resected. Gallbladder metastasis can occur from RCC several years after initial management. Physicians should be aware of this rare pathology, and intensive follow-up is essential after surgery for RCC. |
| Databáze: | OpenAIRE |
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