A Case of Late Perirenal Fat Recurrence after Partial Nephrectomy for T1A Renal Cell Carcinoma

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  • Fukui, Tomohiro
    The Department of Urology, Kyoto University Graduate School of Medicine
  • Yamasaki, Toshinari
    The Department of Urology, Kyoto University Graduate School of Medicine
  • Mizuno, Kei
    The Department of Urology, Kyoto University Graduate School of Medicine
  • Negoro, Hiromitsu
    The Department of Urology, Kyoto University Graduate School of Medicine
  • Kobayashi, Takashi
    The Department of Urology, Kyoto University Graduate School of Medicine
  • Terada, Naoki
    The Department of Urology, Kyoto University Graduate School of Medicine
  • Sugino, Yoshio
    The Department of Urology, Kyoto University Graduate School of Medicine
  • Matsui, Yoshiyuki
    The Department of Urology, Kyoto University Graduate School of Medicine
  • Inoue, Takahiro
    The Department of Urology, Kyoto University Graduate School of Medicine
  • Kamba, Tomomi
    The Department of Urology, Kyoto University Graduate School of Medicine
  • Yoshimura, Koji
    The Department of Urology, Kyoto University Graduate School of Medicine
  • Ogawa, Osamu
    The Department of Urology, Kyoto University Graduate School of Medicine

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Other Title
  • 腎癌部分切除後に腎周囲脂肪織内晩期再発を認めた1例
  • ジンガン ブブン セツジョ ゴ ニ ジンシュウイ シボウショクナイ バンキ サイハツ オ ミトメタ 1レイ

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Abstract

An 84-year-old man had undergone laparoscopic partial nephrectomy for right renal cell carcinoma (RCC), cT1aN0M0 in 2003. The histopathological diagnosis was clear cell carcinoma, grade 1, v (−), surgical margin negative, pT1a. Nine years and 10 months postoperatively, computed tomography scans demonstrated tumors on right renal fossa. As we could not detect other metastatic lesions, we diagnosed him with local recurrence of RCC and planned the surgery with curative intent. He underwent laparoscopic resection of retroperitoneal tumors. The histopathological diagnosis was clear cell carcinoma, grade 2＞3, v (−), surgical margin negative, and confirmed recurrence of RCC. In retrospective review of 176 cases of pT1a renal cell carcinoma with partial nephrectomy in our institute, 3 patients (1.7%) developed local recurrence and 2 patients (1.1%) developed late local recurrence.

Journal

  • Hinyokika Kiyo

    Hinyokika Kiyo 60 (10), 481-483, 2014-10

    泌尿器科紀要刊行会

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