Sujith V Cherian, Subhraleena Das, Amarinder Singh Garcha, Department of Medicine, SUNY Upstate Medical University, Syracuse, NY 13210, United States.
World J Gastrointest Oncol. 2011 Jun 15;3(6):99-102. doi: 10.4251/wjgo.v3.i6.99.
We present an unusual case of renal cell cancer (RCC) which relapsed with duodenal metastasis and unveiled itself by gastrointestinal (GI) bleeding. An 80-year old Caucasian gentleman with history of renal cell cancer status post nephrectomy 11 mo previously, presented with syncope and melena. Computed tomography scan of the abdomen revealed heterogeneous soft tissue mass in the right nephrectomy bed invading the duodenum. Upper GI endoscopic biopsy confirmed the presence of recurrent renal cell cancer. However, due to extensive metastatic disease, the patient was placed on palliative chemotherapy as surgical options were ruled out. Our case report reiterates the fact that renal cell carcinoma can recur with gastrointestinal manifestations and, although a rarity, it should be considered in a patient with a history of malignancy who presents with these symptoms.
我们报告一例肾细胞癌（RCC）的不寻常病例，该病例复发并伴有十二指肠转移，表现为胃肠道（GI）出血。一位 80 岁的白人男性，有肾细胞癌病史，已行肾切除术 11 个月，因晕厥和黑便就诊。腹部 CT 扫描显示右肾切除床有不均匀软组织肿块侵犯十二指肠。上消化道内镜活检证实存在复发性肾细胞癌。然而，由于广泛的转移疾病，患者被安置在姑息化疗，因为手术选择已被排除。我们的病例报告再次强调了肾细胞癌可以以胃肠道表现复发的事实，尽管很少见，但对于有恶性肿瘤病史并出现这些症状的患者，应考虑这种情况。
