Erschienen in:
04.06.2020 | Case Report
Synchronous Locally Advanced Renal and Colonic Carcinoma—Case Report with Review of Literature
verfasst von:
Mekhala D. Naik, Rajesh S. Shinde, Pradeep Thammaiah, Jakiyuddin Rampurwala, Richa Bansal
Erschienen in:
Indian Journal of Surgical Oncology
|
Sonderheft 1/2020
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Excerpt
Multiple primary tumours pose a clinical challenge in terms of timely diagnosis, proper pre- and intraoperative planning and providing a favourable oncological outcome. The most common tumours reported to occur simultaneously with renal cell carcinoma are prostate, bladder, lung, breast and colon [
1]. Synchronous colorectal and renal malignancies have hitherto been known to be diagnosed mostly during radiological investigations, with patients being asymptomatic for the renal malignancy and it being early stage as compared with colorectal component. While upper urothelial malignancy and colorectal malignancy can be a part of spectrum of Lynch syndrome, the genetic association of clear cell carcinoma occurring in a patient with colorectal adenocarcinoma is not yet established. The importance of careful case selection for combining multivisceral radical surgeries cannot be understated. Various studies have stated increased morbidity and poor overall survival in patients with synchronous colorectal and renal malignancies. In the background of multiple previous studies on this phenomenon, we hereby report our modest experience of en bloc excision of synchronous renal cell carcinoma of right kidney with retro-hepatic IVC thrombectomy and right hemicolectomy with a favourable operative outcome. …
