Reznichenko Aleksandr A
Division of Transplant Surgery, Department of Surgery, University of Cincinnati, 231 Albert Sabin Way, Suite 1555, Cincinnati, OH 45267-0519, USA.
Case Rep Surg. 2016;2016:6021909. doi: 10.1155/2016/6021909. Epub 2016 Aug 9.
Background. The concomitant occurrence of a renal cell carcinoma and retroperitoneal sarcoma is extremely rare with only few cases being reported. Methods. We present a case of simultaneous renal cell carcinoma and exceptionally large size retroperitoneal sarcoma involving small intestine. Surgical resection of retroperitoneal sarcoma and simultaneous right nephrectomy were performed. Results. Patient developed recurrent and metastatic disease and underwent debulking surgery following by chemotherapy. Despite aggressive behavior of the retroperitoneal sarcomas, patient is currently (7 years after simultaneous resection and nephrectomy) recurrence-free. Conclusions. Complete surgical resection is the mainstay of therapy for both renal cell carcinoma and retroperitoneal sarcoma. We present a case of simultaneous renal cell carcinoma and exceptionally large size retroperitoneal sarcoma. Debulking surgery and chemotherapy were helpful in our case.
背景。肾细胞癌与腹膜后肉瘤同时发生极为罕见，仅有少数病例报道。方法。我们报告一例同时患有肾细胞癌和累及小肠的巨大腹膜后肉瘤的病例。实施了腹膜后肉瘤手术切除并同期进行了右肾切除术。结果。患者出现复发和转移疾病，随后接受了减瘤手术及化疗。尽管腹膜后肉瘤具有侵袭性，但患者目前（同期切除和肾切除术后7年）无复发。结论。完整手术切除是肾细胞癌和腹膜后肉瘤治疗的主要手段。我们报告了一例同时患有肾细胞癌和巨大腹膜后肉瘤的病例。减瘤手术和化疗对我们的病例有帮助。
