Long-term survival in patients with metastatic renal cell carcinoma managed with conservative therapy : a report of two cases

HANDLE Open Access

Bibliographic Information

Other Title
  • 腎癌の多発転移に対して機能温存的治療で長期の生命予後を保ちえた2例

Search this article

Abstract

Case 1. A 58-year-old man underwent radical nephrectomy due to a tumor in the left kidney (renal cell carcinoma, clear cell subtype, G3, pT1bpN0) in 1988. Thirteen years later, he underwent surgical resection of metastases to lung and cerebrum and gamma ray knife resection of two other sites of metastases to cerebrum in 2001. He had no evidence of disease in April, 2003. Case 2. A 53-year-old man underwent radical nephrectomy due to a tumor in the right kidney (renal cell carcinoma, clear cell type, pT1apN0) in 1987. From 1996 to 2001, irradiation therapy to multiple metastases to thoracic vertebrae (50 Gy), rib (50 Gy), para-aorta lymph nodes (40 Gy), sacrum (44 Gy) and sternum (44 Gy), and surgical resection of dermal metastasis were performed. Paraplegia occurred due to regrowth of thoracic bone metastasis in December, 2001. In February, 2002, he died of septic shock caused by infection of decubitus. Surgical resection and palliative therapy of recurrent metastatic foci was useful to improve the quality of life and probably prognosis.

Journal

  • Hinyokika Kiyo

    Hinyokika Kiyo 50 (9), 621-624, 2004-09

    泌尿器科紀要刊行会

Keywords

Details 詳細情報について

Report a problem

Back to top