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

Timothy Masterson, Paul Russo

Research output: Contribution to journalArticle

11 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)345-349
Number of pages5
JournalNature Clinical Practice Urology
Volume5
Issue number6
DOIs
StatePublished - Jun 2008
Externally publishedYes

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Nephrectomy
Renal Cell Carcinoma
Neoplasm Metastasis
Recurrence
Hand
Peritoneum
Cholecystectomy
Colonoscopy
Fine Needle Biopsy
Physical Examination
Liver Diseases
Kidney
Biopsy

ASJC Scopus subject areas

  • Urology
  • Nephrology

Cite this

A case of port-site recurrence and locoregional metastasis after laparoscopic partial nephrectomy. / Masterson, Timothy; Russo, Paul.

In: Nature Clinical Practice Urology, Vol. 5, No. 6, 06.2008, p. 345-349.

Research output: Contribution to journalArticle

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