Metastatic Renal Cell Carcinoma of the Gallbladder
Article Outline
A 73-year-old man presented for further evaluation of a gallbladder polyp, 5 years after left radical nephrectomy for renal cell carcinoma (RCC). Computed tomography revealed a 2-cm enhancing pedunculated tumour within the gallbladder. Open simple cholecystectomy was performed and the tumour was histologically confirmed as a metastasis of the RCC to the gallbladder. The patient is alive and disease-free, 2 years after cholecystectomy. Of the reported 23 patients with metastatic RCC of the gallbladder, nine patients were reported to be cancer-free with the longest follow-up interval of 6 years after cholecystectomy. Although metastasis of RCC is a rare differential diagnosis of gallbladder tumours, simple cholecystectomy may offer a chance of long-term survival for patients with RCC.
Key Words: gallbladder , renal cell carcinoma
No full text is available. To read the body of this article, please view the PDF online.
References
- Metastatic patterns of renal carcinoma: an analysis of 687 necropsies . Cancer Res Clin Oncol . 1988;114:605–612
- . Kidney cancer . Lancet . 1998;352:1691–1696
- Resection of metastatic renal cell carcinoma . J Clin Oncol . 1998;16:2261–2266
- Aggressive versus conservative management of stage IV renal cell carcinoma . J Urol . 1977;118:224–226
- . Primary carcinoma of the gallbladder . Surg Gynecol Obstet . 1978;147:939–942
- How should polypoid lesions of the gallbladder be treated in the era of laparoscopic cholecystectomy? . Surgery . 1995;117:481–487
- Small polypoid lesions of the gallbladder: differential diagnosis and surgical indications by helical computed tomography . Arch Surg. . 1998;133:735–739
- . Is laparoscopic cholecystectomy indicated for early gallbladder cancer [letter]? . Surgery . 1997;122:120–121
- . Kidney cancer . Lancet . 1998;352:1691–1696
- . Clear cell carcinoma of the gallbladder . Pathol Res Pract . 1995;191:1259–1265
PII: S1015-9584(09)60074-9
doi:10.1016/S1015-9584(09)60074-9
© 2006 Asian Surgical Association. Published by Elsevier Inc. All rights reserved.
