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Port site recurrence after laparoscopic radical nephrectomy: a case report
Kota Shimokihara1, Takashi Kawahara2, Daiji Takamoto1
1Departments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.
Journal of Medical Case Reports
|June 9, 2017
Summary
A rare case of port site metastasis from renal cell carcinoma occurred 7 years after laparoscopic nephrectomy. This finding highlights the importance of long-term surveillance for patients undergoing minimally invasive cancer surgery.
Area of Science:
- Urology
- Surgical Oncology
- Oncology
Background:
- Laparoscopic radical nephrectomy is standard for localized renal cell carcinoma.
- Postoperative port site metastasis is a known complication in various cancers.
- Minimally invasive surgery offers benefits but requires vigilance for rare complications.
Observation:
- A 68-year-old man underwent laparoscopic nephrectomy for renal cell carcinoma.
- Five years post-surgery, a growing abdominal mass was detected.
- PET-CT confirmed a metabolically active mass suspicious for recurrence.
Findings:
- The abdominal mass was surgically resected and pathologically diagnosed as metastatic clear cell renal cell carcinoma.
- This represents a rare instance of port site metastasis.
- The metastasis was detected 7 years after the initial laparoscopic nephrectomy.
Implications:
- This case underscores the possibility of late-onset port site metastasis after laparoscopic nephrectomy.
- Long-term follow-up is crucial for patients treated with minimally invasive techniques for renal cell carcinoma.
- Further research into risk factors and surveillance strategies for port site metastasis is warranted.
