[Late lymph node metastasis in renal cell carcinoma. Case report].
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.
Giménez Bachs
José Miguel
JM
Servicio de Urología, Complejo Hospitalario Universitario de Albacete, Albacete, España. gbjosem@sescam.jccm.es
Lorenzo Romero
Juan Gabriel
JG
Pastor Guzmán
José María
JM
Donate Moreno
María José
MJ
Pastor Navarro
Héctor
H
Carrión López
Pedro
P
Salinas Sánchez
Antonio Santiago
AS
Virseda Rodríguez
Julio Antonio
JA
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