title: Gastric metastasis from renal cell carcinoma fourteen years after radical nephrectomy.
abstract: We report one case of solitary gastric metastasis from renal cell carcinoma following radical excision of the primary tumour 14 years previously. During evaluation for a severe anaemia with melaena, a patient underwent upper gastrointestinal endoscopy that evidenced the presence of a small polypoid lesion in the body of the stomach. Endoscopic biopsy revealed renal cell carcinoma. There was no evidence of further metastatic disease. A subtotal gastric resection with Roux-en-Y gastrojejunal reconstruction was performed. After 6 months follow-up, the patient was disease-free. This case confirms the potential of renal cell carcinoma for late and solitary metastasis with circumscribed local invasiveness and suggests that endoscopic resection may be feasible.
authors.affiliation: Department of Surgery, Civil Hospital of Acquapendente, Roma, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Picchio
authors.forename: A
authors.initials: A
authors.lastname: Paioletti
authors.forename: E
authors.initials: E
authors.lastname: Santini
authors.forename: S
authors.initials: S
authors.lastname: Iacoponi
authors.forename: M
authors.initials: M
authors.lastname: Cordahi
mesh_terms: D001707:Biopsy, Needle; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods; D013274:Stomach Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome