title: [Gastric metastasis of clear cell renal carcinoma].
abstract: We report the case of a patient operated in 2003 for renal clear cell carcinoma (CCRC), when left nephrectomy was performed. In the years following occur: lung (2004) and brain (2006) metastasis, pathological bone fracture in right femur (2007), which needed a complex treatment: polichimiotherapy, cobaltotherapy, right temporal metastasectomy, right femoral fixation with metal rod. In our clinic was hospitalised for serious upper gastrointestinal bleeding, severe anaemia (haemoglobin 5.8 g%, hematocrit 18.3%) produced by a ulcerated gastric metastasis. The inefficiency of medical treatment, patient and family desire to operate, have led us to practise Péan type gastrectomy necessary for palliative role (raising the hemorrhagic metastasis). Scarcity of the gastric metastasising of CCRC are discussed and also the surgical indication in the context of a plurimetastatic patient.
authors.affiliation: Clinica Chirurgie I, Spitalul Universitar de Urgenţă Bucureşti, România. radupalade@yahoo.com
authors.forename: R
authors.initials: R
authors.lastname: Palade
authors.forename: D
authors.initials: D
authors.lastname: Voiculescu
authors.forename: E
authors.initials: E
authors.lastname: Suliman
authors.forename: G
authors.initials: G
authors.lastname: Simion
mesh_terms: D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery; D005260:Female; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000556:secondary* / Q000601:surgery; D016896:Treatment Outcome