Metastasis to the stomach from renal cell carcinoma (RCC) is extremely rare.
Usually, gastric metastasis seems to be a late event in patients with RCC and is accompanied by disseminated tumor spread to other organs. Solitary synchronous gastric metastasis from small, localized RCC has rarely been reported. We report a case of 79-year-old man with synchronous gastric metastasis presenting with a single erosive lesion from pT1 RCC. The patient underwent radical nephrectomy and endoscopic resection for metastatic gastric cancer. The resected specimen showed an ill-defined tumor, approximately 0.6 cm long, with a clear resection margin. The morphologic features of the tumor cells were consistent with those of metastatic RCC of the clear cell type. At 6 months's follow-up, the patient did not show local recurrence or additional metastasis on upper endoscopy and computed tomography scan.
Written by:
Kim MY, Jung HY, Choi KD, Song HJ, Lee JH, Kim do H, Choi KS, Kim SA, Lee GH, Kim JH. Are you the author?
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, and Asan Digestive Disease Research Institute, Seoul, Korea.
Reference: Gut Liver. 2012 Jul;6(3):388-94.
doi: 10.5009/gnl.2012.6.3.388
PubMed Abstract
PMID: 22844570
UroToday.com Renal Cancer Section