Surgical treatment of metachronous metastases in different organs following radical nephrectomy.
Renal clear cell carcinoma (RCCC) is a neoplasia resistant to radio and chemotherapy, with surgical treatment being the procedure that is recognized for its curative treatment. This case report demonstrates the success of an aggressive surgical treatment for consecutive and late metachronous metastases following radical nephrectomy.


METHODS
Asymptomatic 50-year old man. During a routine examination, an incidental mass was found by renal ultrasonography. He underwent right radical nephrectomy due to RCCC in June 1992. During the follow-up metastases were evidenced in cerebellum on the seventh year, and in left lung and pancreas on the eighth year following the radical nephrectomy, with all of them successfully treated by surgical excision.


CONCLUSIONS
The surgical excision of consecutive and late metachronous metastases in different organs arising from RCCC is feasible, being a good therapeutic alternative in selected cases.
De Jesus
Carlos M N
CM
Department of Urology, Botucatu School of Medicine, Paulista State University, Botucatu, São Paulo, Brazil. marcio@fmb.unesp.br
Corrêa
Luiz A
LA
Filho
José C S Trindade
JC