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  • Title: Gastric metastasis from renal cell carcinoma fourteen years after radical nephrectomy.
    Author: Picchio M, Paioletti A, Santini E, Iacoponi S, Cordahi M.
    Journal: Acta Chir Belg; 2000; 100(5):228-30. PubMed ID: 11143327.
    Abstract:
    We report one case of solitary gastric metastasis from renal cell carcinoma following radical excision of the primary tumour 14 years previously. During evaluation for a severe anaemia with melaena, a patient underwent upper gastrointestinal endoscopy that evidenced the presence of a small polypoid lesion in the body of the stomach. Endoscopic biopsy revealed renal cell carcinoma. There was no evidence of further metastatic disease. A subtotal gastric resection with Roux-en-Y gastrojejunal reconstruction was performed. After 6 months follow-up, the patient was disease-free. This case confirms the potential of renal cell carcinoma for late and solitary metastasis with circumscribed local invasiveness and suggests that endoscopic resection may be feasible.
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