Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2006-6-8
pubmed:abstractText
Recurrence in renal carcinoma after primary therapy is a rare but known event. The recurrences are often asymptomatic, but could manifest in varied forms depending on the organ involved. In this report, we present a case wherein the recurrent tumor had ulcerated into the duodenal lumen manifesting as an upper gastrointestinal bleed. A 58-year-old male patient underwent radical nephrectomy on the right side for renal cell carcinoma (T2, N0, M0). Three years and 5 months later, the patient presented with an acute episode of upper gastrointestinal bleed. The recurrence was diagnosed by biopsy through endoscopy and evaluated by computed tomography (CT) scan. The patient was managed with an en bloc pancreatico-duodenectomy after metastatic evaluation and is disease free for 2 years. Recurrences in renal cell carcinoma can show varied presentation. Only 2 cases of gastrointestinal bleed of recurrent renal cell carcinoma are reported. High index of suspicion and long term follow-up are required. Aggressive surgical management for recurrence of renal cell carcinoma is warranted as good prognosis could be expected in the absence of metastasis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0393-2249
pubmed:author
pubmed:issnType
Print
pubmed:volume
58
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
87-90
pubmed:dateRevised
2008-6-23
pubmed:meshHeading
pubmed:year
2006
pubmed:articleTitle
Recurrent renal cell carcinoma presenting as gastrointestinal bleed. A case report.
pubmed:affiliation
Department of Surgical Oncology, M. S. Ramaiah Medical College and Hospital, Bangalore, India. drkhari@yahoo.com
pubmed:publicationType
Journal Article, Review, Case Reports