[Local recurrence of renal carcinoma after laparoscopic partial nephrectomy].
We report the case of an early local recurrence after a laparoscopic partial nephrectomy (LPN) for a Furhman grade 1-2 clear cell renal carcinoma (CCRC). CT scan at 6 months revealed a local recurrence. An open total nephrectomy was performed. There were six nodules in the perirenal fat from a grade 3 CCRC. Twenty-six months after the LPN, the patient had a wound recurrence, which was surgically removed. Four months after the wound recurrence, the patient had pulmonary, liver and adrenal glands metastasis. He received an oral treatment with sunitinib. At 4 months after the initiation of the sunitinib, he had a total response.
Negre
T
T
Service d'urologie et de transplantation rénale, CHU Conception, 147, boulevard Baille, 13385 Marseille, France. thibault@negre.fr
Lechevalier
E
E
André
M
M
Delaporte
V
V
Deturmeny
J
J
Muraciole
X
X
Coulange
C
C
D002292:Carcinoma, Renal Cell / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009392:Nephrectomy / Q000379:methods*