Urology Annals

REVIEW ARTICLE
Year
: 2021  |  Volume : 13  |  Issue : 1  |  Page : 1--8

Management of colon-invading renal cell carcinoma: Operative technique and systematic review


Kevin Gerard Byrnes1, Jody Sultan Ali Khan1, Usman Muhammad Haroon1, Niamh McCawley2, Ijaz Ahmad Cheema1 
1 Department of Urology, Beaumont Hospital, Dublin, Ireland
2 Department of Colorectal Surgery, Beaumont Hospital, Dublin, Ireland

Correspondence Address:
Mr. Kevin Gerard Byrnes
Department of Urology, Beaumont Hospital, Dublin
Ireland

Invasion into adjacent organs by non-metastatic renal cell carcinoma (RCC) occurs in 1% of patients suitable for resection. Colonic invasion is rare and presents technical challenges. No prospective data exists to guide management of these patients. We present the first reported case of a colon-invading RCC managed with simultaneous open right radical nephrectomy and extended right hemicolectomy. PubMed, Scopus and EMBASE databases were searched for relevant case reports reporting management of colon-invading renal cell carcinoma. Case reports, case series and cohort studies were eligible. A chart review was performed on a patient who presented with right-sided colon-invading RCC. Four previously reported cases were identified. The current case was managed with simultaneous open radical nephrectomy and extended right hemicolectomy. The patient remains well six months postoperatively with no evidence of disease recurrence. Histopathological evaluation of the resected specimen confirmed a T4 clear cell RCC with sarcomatoid differentiation. Colon-invading RCC is rare. This is the first reported case of right-sided, colon-invading RCC treated with radical resection. The current case confirms radical resection is a feasible management strategy for similar presentations. En bloc resection of involved organs remains the only potentially curative option for locally advanced disease.


How to cite this article:
Byrnes KG, Khan JS, Haroon UM, McCawley N, Cheema IA. Management of colon-invading renal cell carcinoma: Operative technique and systematic review.Urol Ann 2021;13:1-8


How to cite this URL:
Byrnes KG, Khan JS, Haroon UM, McCawley N, Cheema IA. Management of colon-invading renal cell carcinoma: Operative technique and systematic review. Urol Ann [serial online] 2021 [cited 2021 Feb 28 ];13:1-8
Available from: https://www.urologyannals.com/article.asp?issn=0974-7796;year=2021;volume=13;issue=1;spage=1;epage=8;aulast=Byrnes;type=0