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Year : 2016  |  Volume : 8  |  Issue : 1  |  Page : 102-104

Sequential unusual site metastases in renal cell cancer: Saga of repeated tumor implantation and prolonged survival without systemic therapy

Department of Urology, All Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Rishi Nayyar
Department of Urology, Room 5030, 5th Floor, Teaching Block, All India Institute of Medical Sciences, New Delhi
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DOI: 10.4103/0974-7796.171501

PMID: 26834414

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Renal cell cancer (RCC) is known to produce metastasis to unusual sites both synchronously and metachronously several years after the primary treatment. We report a rare case of RCC with three different, sequential, and each time isolated rare site metastasis to ureteric stump, surgical site, and urinary bladder over a period of 6 years after radical nephrectomy. At each recurrence, metastasectomy was carried out and no systemic therapy was administered. Eleven years after radical nephrectomy and 5 years after last resection, the patient remains disease free. Multiple recurrences can occur in RCC and complete surgical resection results in disease free survival.

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