Renal cell cancer (RCC) is known to produce metastasis to unusual sites both synchronously and metachronously several years after the primary treatment. We report a rare case of RCC with three different, sequential, and each time isolated rare site metastasis to ureteric stump, surgical site, and urinary bladder over a period of 6 years after radical nephrectomy.
At each recurrence, metastasectomy was carried out and no systemic therapy was administered. Eleven years after radical nephrectomy and 5 years after last resection, the patient remains disease free. Multiple recurrences can occur in RCC and complete surgical resection results in disease free survival.
Urology annals. 0000 [Epub]
Siddharth Yadav, Rishi Nayyar, Amlesh Seth
Department of Urology, All India Institute of Medical Sciences, New Delhi, India., Department of Urology, All India Institute of Medical Sciences, New Delhi, India., Department of Urology, All India Institute of Medical Sciences, New Delhi, India.