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:
Scott Department of Urology, Baylor College of Medicine, 6560 Fannin, Suite 2100, Houston, 77030, TXScott Department of Urology, Baylor College of Medicine, 6560 Fannin, Suite 2100, Houston, 77030, TX
Kim I.Y.
Schulam P.G.
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机构:
Scott Department of Urology, Baylor College of Medicine, 6560 Fannin, Suite 2100, Houston, 77030, TXScott Department of Urology, Baylor College of Medicine, 6560 Fannin, Suite 2100, Houston, 77030, TX