title: Palliative laparoscopic resection of renal cell carcinoma metastatic to the stomach: report of a case.
abstract: The most common sites of metastases in renal cell carcinoma (RCC) are lung and bone. However, unusual sites, including the stomach, are characteristic of RCC.This article presents a case of a metastatic RCC (lung and liver) with a symptomatic gastric metastasis treated by a laparoscopic wedge resection (LWR).A 66-year-old woman, diagnosed with RCC underwent a right nephrectomy. During her follow-up, an upper gastrointestinal (GI) endoscopy showed an ulcerated lesion at the stomach. A biopsy of the specimen revealed metastatic RCC. The patient underwent a palliative LWR and was discharged home 8 days after surgery.Therefore, LWR is a relatively simple technique with the advantages of minimal invasive access in the treatment of palliative cases.
authors.affiliation: Division of Digestive Surgery - Department of Gastroenterology, São Paulo State Cancer Institute - ICESP-HCFMUSP, University of Sao Paulo School of Medicine, Avenida Doutor Enéas de Carvalho, 255, São Paulo, SP, Brazil. thiagocosta2002@yahoo.com.br.
authors.forename: Thiago Nogueira
authors.initials: TN
authors.lastname: Costa
authors.forename: Flavio Roberto
authors.initials: FR
authors.lastname: Takeda
authors.forename: Ulysses
authors.initials: U
authors.lastname: Ribeiro
authors.forename: Ivan
authors.initials: I
authors.lastname: Cecconello
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000556:secondary / Q000601:surgery*; D010535:Laparoscopy; D009392:Nephrectomy; D010166:Palliative Care; D011379:Prognosis; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*