title: Radical nephrectomy with en bloc resection of liver, diaphragm, and lung for locally invasive sarcomatoid renal cell carcinoma.
abstract: Despite the widespread use of abdominal imaging, some patients with renal cell carcinoma still present with advanced disease. We report 1 case of locally invasive sarcomatoid renal cell carcinoma requiring resection of the kidney, adrenal glands, liver, diaphragm, and lung, with diaphragmatic reconstruction with a polytetrafluoroethylene patch. The patient was alive and well 5 years postoperatively. However, we acknowledge that the success experienced with this case does not represent the typical outcome for a patient with such advanced disease.
authors.affiliation: Department of Urology, Dalhousie University, QEII Health Sciences Centre, Halifax, Canada.
authors.forename: Jaime A
authors.initials: JA
authors.lastname: Wong
authors.forename: Thomas
authors.initials: T
authors.lastname: Whelan
authors.forename: Michael
authors.initials: M
authors.lastname: Morse
mesh_terms: D000328:Adult; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003964:Diaphragm / Q000601:surgery; D006498:Hepatectomy; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D009392:Nephrectomy; D011013:Pneumonectomy; D012509:Sarcoma / Q000473:pathology