Isolated gastric metastasis from renal cell carcinoma 19 years after radical nephrectomy.
Metastatic tumors in the stomach are rare. We report a case of solitary gastric metastasis from renal cell carcinoma (RCC) 19 years after radical excision of the primary tumor. During evaluation for anemia with melena, a small elevated tumor with ulceration was detected in the gastric fundus of this patient. The tumor was diagnosed as RCC based on endoscopic biopsy findings. There was no evidence of any other metastatic lesion, and a wedge resection of the stomach was performed. No additional metastasis or recurrence has been detected in the patient 12 months after discharge. This case confirms the existence of a very slow growing type of RCC with the potential for late solitary metastases and describes the surgical resectability.
Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan. suga1972@yahoo.co.jp
Hidekazu
H
Sugasawa
Takashi
T
Ichikura
Satoshi
S
Ono
Hironori
H
Tsujimoto
Shuichi
S
Hiraki
Naoko
N
Sakamoto
Yoshihisa
Y
Yaguchi
Hideyuki
H
Shimazaki
Junji
J
Yamamoto
Kazuo
K
Hase
D000368:Aged; D001706:Biopsy; D002292:Carcinoma, Renal Cell / Q000556:secondary / Q000601:surgery*; D019788:Fluorodeoxyglucose F18; D005743:Gastrectomy; D005773:Gastroscopy; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D009392:Nephrectomy; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18