title: Metastasectomy for renal cell carcinoma as a strategy to obtain complete remission.
abstract: We report a case of 67-year-old Japanese woman with two types of metastasectomy for metachronous metastases of renal cell carcinoma (RCC). The initial nephrectomy for left RCC was performed in April 1977. The pathological diagnosis was clear cell carcinoma grade1-2, pT1b. In May 1996, computed tomography (CT) revealed a tumor in the upper pole of the remaining right kidney. The renal tumor was enucleated in June 1996. The histopathological diagnosis of the tumors was clear cell carcinoma. In December 1998, conventional B-mode ultrasound US detected solid tumors in the uncus, body, and tail of pancreas, and the patient underwent partial pancreatectomy, preserving the pancreatic head. Histologically, the tumor consisted of clear cell carcinoma. Eleven years following the second metastasectomy, patient was disease free without adjuvant therapy.
authors.affiliation: Department of Urology, Nihon University School of Medicine, 1-8-13 Kanda Surugadai, Chiyoda-ku, Tokyo, 101-8309, Japan.
authors.forename: Kenya
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: Nozomu
authors.initials: N
authors.lastname: Kawata
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Nagane
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Igarashi
authors.forename: Shuji
authors.initials: S
authors.lastname: Sugimoto
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Hirakata
authors.forename: Satoru
authors.initials: S
authors.lastname: Takahashi
authors.forename: Tokio
authors.initials: T
authors.lastname: Higaki
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D009392:Nephrectomy; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography
references.citation: Eur Urol. 2005 Jul;48(1):77-81; discussion 81-2
references.pmid: 15967255
references.citation: Urology. 2000 Aug 1;56(2):211-5
references.pmid: 10925080
references.citation: Br J Surg. 2009 Jun;96(6):579-92
references.pmid: 19434703
references.citation: Am J Gastroenterol. 1996 Nov;91(11):2414-7
references.pmid: 8931428
references.citation: Nihon Hinyokika Gakkai Zasshi. 1995 Oct;86(10):1538-42
references.pmid: 7474603
references.citation: Jpn J Clin Oncol. 2002 Aug;32(8):315-7
references.pmid: 12411571
references.citation: Int J Urol. 2006 Mar;13(3):325-8
references.pmid: 16643641
references.citation: N Engl J Med. 2007 Jan 11;356(2):125-34
references.pmid: 17215530
references.citation: J Comput Assist Tomogr. 1984 Oct;8(5):829-34
references.pmid: 6470248
references.citation: Surg Gynecol Obstet. 1989 Apr;168(4):345-7
references.pmid: 2928909
references.citation: Ann Thorac Surg. 1998 Apr;65(4):909-12
references.pmid: 9564899
references.citation: J Urol. 1995 Jul;154(1):28-31
references.pmid: 7776446
references.citation: N Engl J Med. 2007 Jan 11;356(2):115-24
references.pmid: 17215529
references.citation: J Clin Oncol. 1994 Jan;12(1):206-12
references.pmid: 8270978