Papillary renal cell carcinoma (PRCC) is a rare cancer and is the second most frequent histologic type among all renal cell carcinoma, accounting for up to 15%. A 72-year-old man underwent a right radical nephrectomy 7 years ago with final histopathology diagnosis of type 1 PRCC with negative surgical margins. Five years after surgery, computed tomography scan imaging showed the presence of multiple masses suspicious for node recurrences disease localized in the renal lodge, in the inter-aorto-caval space, at the iliac vessels bifurcation and right common iliac vessels. Patient underwent a robotic retroperitoneal lymphadenectomy. The histopathological examination confirmed the recurrence of type I papillary renal cancer in all the specimens. No further recurrences have been observed at 24-month follow-up after surgery. This report is the first describing a robot-assisted minimally invasive surgical excision for type I papillary renal cancer nodal and renal fossa recurrences.
Journal of surgical case reports. 2020 Oct 10*** epublish ***
Yazan Al Salhi, Andrea Fuschi, Gennaro Velotti, Lorenzo Capone, Sara Aversa, Cosimo de Nunzio, Natale Porta, Vincenzo Petrozza, Antonio Carbone, Antonio Luigi Pastore
Department of Medico-Surgical Sciences and Biotechnologies, "La Sapienza" University of Rome, Urology Unit ICOT, Latina, Italy., Department of Medico-Surgical Sciences and Biotechnologies, "La Sapienza" University of Rome, Pathology Unit ICOT, Latina, Italy., Department of Urology, La Sapienza University of Rome, Sant'Andrea Hospital, Rome, Italy.