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. (C) 2010 Published by Elsevier Masson SAS.
机构:
Weill Cornell Coll Med, Mem Sloan Kettering Canc Ctr, Dept Surg, Urol Serv, New York, NY 10021 USAWeill Cornell Coll Med, Mem Sloan Kettering Canc Ctr, Dept Surg, Urol Serv, New York, NY 10021 USA
机构:
North Shore Long Isl Jewish Med Ctr, Arthur Smith Inst Urol, New Hyde Pk, NY 11042 USANorth Shore Long Isl Jewish Med Ctr, Arthur Smith Inst Urol, New Hyde Pk, NY 11042 USA
Kreshover, Jessica E.
Richstone, Lee
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North Shore Long Isl Jewish Med Ctr, Arthur Smith Inst Urol, New Hyde Pk, NY 11042 USANorth Shore Long Isl Jewish Med Ctr, Arthur Smith Inst Urol, New Hyde Pk, NY 11042 USA
Richstone, Lee
Kavoussi, Louis R.
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North Shore Long Isl Jewish Med Ctr, Arthur Smith Inst Urol, New Hyde Pk, NY 11042 USANorth Shore Long Isl Jewish Med Ctr, Arthur Smith Inst Urol, New Hyde Pk, NY 11042 USA