Solitary subhepatic metastasis of renal adenocarcinoma

We describe a case of a solitary subhepatic metastatic lesion in a man who had undergone right radical nephrectomy for renal cell carcinoma with invasion of the renal vein and inferior vena cava (T2, N0, M0, V2). The solitary recurrence which appeared 3 years after surgical management was intraperitoneal, on the inferior surface of the liver just behind the hepatic hilus. It was well encapsulated and had an easy plane of cleavage. Diagnosis of the solitary metastatic lesion was confirmed by echotomography. The relatively young age of the patient and his good general condition prompted surgical resection of the recurrence. Presently the patient enjoys good health and a recent echotomographic control revealed no evidence of recurrence.