Tratamento cirúrgico na recidiva retroperitoneal tardia por carcinoma renal de células claras após nefrectomia radical

Late renal cell carcinoma recurrence in the renal fossa is a rare event. This condition occurs in 1 to 2% of radical nephrectomies. We reported a late recurrence at the renal fossa about four and half years after radical nephrectomy due to a renal cell carcinoma (RCC) without metastasis elsewhere. Diagnosis in an outpatient follow-up was made during an abdominal computed tomography and we observed a retroperitoneal mass in the renal fossa. The excision at the recurrence area was made through a subcostal transversal incision without any difficulty. After 6 months from this second procedure, there was no evidence of recurrence. The surgical aggressive treatment for late retroperitoneal RCC recurrence is a good method in this rare situation. Abdominal computed tomography must be done during long periods of follow-up for patients with radical nephrectomy for RCC to search for late retroperitoneal recurrences.

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Bibliographic Details
Main Authors: Jesus,Carlos Márcio Nóbrega de, Casafus,Filemón Anastásio Silva, Agostinho,Aparecido Donizetti
Format: Digital revista
Language:Portuguese
Published: Colégio Brasileiro de Cirurgiões 2007
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912007000600015
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