title: [Late lymph node metastasis in renal cell carcinoma. Case report].
abstract: OBJECTIVE
  To report one case of late metastasis of a clear cell carcinoma treated by radical surgery.
  
  
  RESULTS
  Patient with history of radical nephrectomy and lymphadenectomy six years before presenting with regional lymph node metastasis in a followup diagnostic test. After treatment with immunotherapy, stopped because of intolerance, surgery of the metastatic lymph node mass was decided.
  
  
  CONCLUSIONS
  Renal cancer is an unpredictable tumor in terms of oncological behaviour, so that it may metastasize any time in its evolution, even after radical surgery and several years free of disease. Surgery for the metastases of renal cancer is a good therapeutic option, with good long-term results, when they are isolated and accessible to surgery.
authors: Servicio de Urología, Complejo Hospitalario Universitario de Albacete, Albacete, España. gbjosem@sescam.jccm.es
authors: José Miguel
authors: JM
authors: Giménez Bachs
authors: Juan Gabriel
authors: JG
authors: Lorenzo Romero
authors: José María
authors: JM
authors: Pastor Guzmán
authors: María José
authors: MJ
authors: Donate Moreno
authors: Héctor
authors: H
authors: Pastor Navarro
authors: Pedro
authors: P
authors: Carrión López
authors: Antonio Santiago
authors: AS
authors: Salinas Sánchez
authors: Julio Antonio
authors: JA
authors: Virseda Rodríguez
mesh_terms: D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D013997:Time Factors