Recurrent renal cell carcinoma
Follow up study of a known patient with renal cell carcinoma underwent right nephrectomy.
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At the operative bed of right nephrectomy there is irregular shape ill defined heterogenous soft tissue mass lesion with necrotic and enhancing areas. It infiltrates the adjacent psoas muscle and hepatic parenchyma with associated large right hepatic lobe hypervascular focal lesion and right upper lobe lung nodule.
Local recurrence of renal cell carcinoma following nephrectomy is not uncommon. it is usually occurred in the first three to five years and hence regular follow up is important to detect early detection. Recurrence is more common with locally advanced tumor and in sarcomatoid histology. Treatment options include radiofrequency ablation, cryotherapy and surgery.
- 1. Itano NB, Blute ML, Spotts B et-al. Outcome of isolated renal cell carcinoma fossa recurrence after nephrectomy. J. Urol. 2000;164 (2): 322-5. Pubmed citation