Open AccessLate onset metastasis from renal cell carcinoma masquerading as a gallbladder polyp
Author(s) -
Alexandros Papalampros,
Spyridon Davakis,
Athanasios Syllaios,
Ilias Vagios,
Panagiota Diamantopoulou,
Eleandros Kyros,
Lysandros Karydakis,
Dimitrios Goutas,
Afrodite ni,
Evangelos Felekouras
Publication year - 2021
Publication title -
annals of the royal college of surgeons of england
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.39
H-Index - 63
eISSN - 1478-7083
pISSN - 0035-8843
DOI - 10.1308/rcsann.2020.0193
Subject(s) - medicine , hepatoduodenal ligament , renal cell carcinoma , gallbladder , cholecystectomy , metastasis , carcinoma , dissection (medical) , radiology , lymph node , general surgery , surgery , pathology , cancer , resection
Renal cell carcinoma (RCC) accounts for approximately 3% of all adult malignancies. A third of people with RCC have metastatic lesions when diagnosed, and another third develop metachronous metastasis during follow-up or after surgical treatment. We report a case of gallbladder metastasis from clear-cell RCC in a 71-year-old woman 13 years after RCC of her right kidney. Preoperative imaging studies showed a suspicious, progressively enlarged gallbladder polyp. The patient underwent open cholecystectomy and lymph node dissection along the hepatoduodenal ligament. The pathology report was compatible with metastatic disease from the kidney that was previously resected. Gallbladder metastasis can occur from RCC several years after initial management. Physicians should be aware of this rare pathology, and intensive follow-up is essential after surgery for RCC.