Ipsilateral retroperitoneal papillary renal cell carcinoma 27 years after simple nephrectomy for a renal abscess: A case report

Cases of severe inflammatory renal disease and renal cell carcinoma (RCC) that occur simultaneously in the same kidney have been occasionally reported. However, extrarenal RCC that does not originate from the native kidney has rarely been reported. To our knowledge, this is the first reported case o...

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Published inWorld journal of clinical cases Vol. 12; no. 20; pp. 4412 - 4418
Main Authors Kim, Tae Nam, Kim, Ahrong, Kim, Kyung Bin, Lee, Chang Hun
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 16.07.2024
Subjects
Case Report
Case report
Nephrectomy
Papillary renal cell carcinoma
Adhesiveness
Abscess
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Summary:Cases of severe inflammatory renal disease and renal cell carcinoma (RCC) that occur simultaneously in the same kidney have been occasionally reported. However, extrarenal RCC that does not originate from the native kidney has rarely been reported. To our knowledge, this is the first reported case of RCC developing in the ipsilateral retroperitoneal space after a simple nephrectomy (SN) for inflammatory renal disease. A 63-year-old woman was referred to our hospital following the incidental discovery of a left retroperitoneal mass without specific symptoms. Her medical history revealed a left SN 27 years ago due to a renal abscess. Magnetic resonance imaging of the abdomen revealed three oval masses in the left retroperitoneum. The masses were successfully excised, and subsequent pathology confirmed papillary RCC. After surgery, the patient remained disease-free for 11 years without adjuvant therapy. Clinicians should be vigilant of RCC in patients with retroperitoneal masses, especially after SN for inflammatory renal disease.
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Co-corresponding authors: Kyung Bin Kim and Chang Hun Lee.
Corresponding author: Kyung Bin Kim, PhD, Assistant Professor, Department of Pathology, Pusan National University School of Medicine, 1-10 Ami-Dong, Seo-Gu, Busan 49241, South Korea. bigman1995@pusan.ac.kr
Author contributions: Kim TN served as the patient's physician, reviewed the literature, drafted the manuscript, and interpreted the imaging findings; Kim A, Kim KB, and Lee CH interpreted the pathological findings; Kim KB and Lee CH have played important and indispensable roles in conceptualization, manuscript preparation and supervision as the co-corresponding authors. Kim KB conceptualized, designed, and supervised the whole process of the project. She searched the literature, revised and submitted the early version of the manuscript. Lee CH was instrumental and responsible for figure plotting, comprehensive literature search, preparation and submission of the current version of the manuscript. This collaboration between Kim KB and Lee CH is crucial for the publication of this manuscript. All authors approved the final submitted version of the manuscript.
Supported by Pusan National University Hospital in 2024.
ISSN:2307-8960
2307-8960
DOI:10.12998/wjcc.v12.i20.4412