Solitary synchronous metastatic gastric cancer arising from T1b renal cell carcinoma: A case report and systematic review

Document Type

Journal Article

Publication Date

7-1-2012

Journal

Gut and Liver

Volume

6

Issue

3

DOI

10.5009/gnl.2012.6.3.388

Keywords

Carcinoma; Neoplasm metastasis; Renal cell; Stomach neoplasms

Abstract

Metastasis to the stomach from renal cell carcinoma (RCC) is extremely rare. Usually, gastric metastasis seems to be a late event in patients with RCC and is accompanied by disseminated tumor spread to other organs. Solitary synchronous gastric metastasis from small, localized RCC has rarely been reported. We report a case of 79-year-old man with synchronous gastric metastasis presenting with a single erosive lesion from pT1 RCC. The patient underwent radical nephrectomy and endoscopic resection for metastatic gastric cancer. The resected specimen showed an ill-defined tumor, approximately 0.6 cm long, with a clear resection margin. The morphologic features of the tumor cells were consistent with those of metastatic RCC of the clear cell type. At 6 months's follow-up, the patient did not show local recurrence or additional metastasis on upper endoscopy and computed tomography scan.

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