姑息性腹腔镜下切除转移至胃的肾细胞癌：病例报告

Costa Thiago Nogueira, Takeda Flavio Roberto, Ribeiro Ulysses, Cecconello Ivan

Division of Digestive Surgery - Department of Gastroenterology, São Paulo State Cancer Institute - ICESP-HCFMUSP, University of Sao Paulo School of Medicine, Avenida Doutor Enéas de Carvalho, 255, São Paulo, SP, Brazil.

World J Surg Oncol. 2014 Dec 23;12:394. doi: 10.1186/1477-7819-12-394.

The most common sites of metastases in renal cell carcinoma (RCC) are lung and bone. However, unusual sites, including the stomach, are characteristic of RCC.This article presents a case of a metastatic RCC (lung and liver) with a symptomatic gastric metastasis treated by a laparoscopic wedge resection (LWR).A 66-year-old woman, diagnosed with RCC underwent a right nephrectomy. During her follow-up, an upper gastrointestinal (GI) endoscopy showed an ulcerated lesion at the stomach. A biopsy of the specimen revealed metastatic RCC. The patient underwent a palliative LWR and was discharged home 8 days after surgery.Therefore, LWR is a relatively simple technique with the advantages of minimal invasive access in the treatment of palliative cases.

肾细胞癌（RCC）最常见的转移部位是肺和骨。然而，包括胃在内的不常见部位也是RCC的特征。本文介绍了一例转移性RCC（肺和肝）伴胃转移症状，经腹腔镜楔形切除术（LWR）治疗的病例。一名66岁女性，被诊断为RCC后接受了右肾切除术。在随访期间，上消化道（GI）内镜检查显示胃内有一个溃疡病变。标本活检显示为转移性RCC。患者接受了姑息性LWR，术后8天出院。因此，LWR是一种相对简单的技术，在治疗姑息性病例中具有微创入路的优点。