title: Successful aggressive treatment against multiple intra-abdominal metastases from renal cell carcinoma 18 years after nephrectomy.
abstract: The management of late metastases from renal cell carcinoma is often difficult because of multiple organ involvement. We report a case of multiple metastases from renal cell carcinoma in the duodenum, pancreas, intestine, falciform ligament and liver, 18 years after nephrectomy. The patient underwent a total pancreatectomy following a gastroduodenal arterial embolization to control duodenal bleeding, a resection of the ileum and falciform ligament at a second laparotomy and repeated hepatic arterial embolizations to control the growth of liver metastases. Aggressive treatment should be undertaken in cases of late recurrence of renal cell carcinoma after nephrectomy because of the possibly slow-growing biological character of the tumor.
authors.affiliation: Department of Surgery, Hiratsuka City Hospital.
authors.forename: T
authors.initials: T
authors.lastname: Kanai
authors.forename: A
authors.initials: A
authors.lastname: Aoki
authors.forename: S
authors.initials: S
authors.lastname: Okazeri
authors.forename: H
authors.initials: H
authors.lastname: Shimada
authors.forename: S
authors.initials: S
authors.lastname: Masamura
authors.forename: Y
authors.initials: Y
authors.lastname: Saikawa
authors.forename: S
authors.initials: S
authors.lastname: Okawa
authors.forename: K
authors.initials: K
authors.lastname: Miyamura
mesh_terms: D000008:Abdominal Neoplasms / Q000556:secondary* / Q000628:therapy; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000628:therapy; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D006499:Hepatic Artery; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D009392:Nephrectomy; D010180:Pancreatectomy