Fat Necrosis Mimicking Renal Cell Carcinoma Recurrence Following Cryotherapy, Partial Nephrectomy, and Nephrectomy
To present our experience with three patients surgically treated for suspected recurrent renal cell carcinoma whose final pathology was consistent with tumefactive fat necrosis. Three patients underwent definitive therapy for biopsy proven renal cell carcinoma (cryoablation, partial nephrectomy, and...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2021-10, Vol.156, p.181-184 |
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| container_title | Urology (Ridgewood, N.J.) |
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| creator | Geldmaker, Laura E. Ericson, Christian A. Baird, Bryce A. Haehn, Daniela A. Zhai, Qihui (Jim) Nassar, Aziza Thiel, David D. |
| description | To present our experience with three patients surgically treated for suspected recurrent renal cell carcinoma whose final pathology was consistent with tumefactive fat necrosis.
Three patients underwent definitive therapy for biopsy proven renal cell carcinoma (cryoablation, partial nephrectomy, and nephrectomy) and later demonstrated evidence of recurrent renal cell carcinoma on follow up imaging. All three patients underwent surgical resection of the suspected recurrences with final pathology consistent with tumefactive fat necrosis.
The three patients were 60, 74, and 39-years old, respectively. The previous definitive therapies for renal cell carcinoma were percutaneous ablation, RAPN, and nephrectomy. Each patient had previous surgical pathology that confirmed prior renal cell carcinoma. Signs of recurrence on diagnostic imaging occurred 2 years, 23 months, and 8 months post-definitive therapy.
In patients with a history of renal cell carcinoma, consideration of fat necrosis should be taken into account upon seeing imaging concerning for tumor recurrence. Continued analysis of cases with such a diagnosis will be beneficial in recognizing this possibility to avoid unnecessary surgery or therapy when possible. |
| doi_str_mv | 10.1016/j.urology.2021.05.051 |
| format | Article |
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Three patients underwent definitive therapy for biopsy proven renal cell carcinoma (cryoablation, partial nephrectomy, and nephrectomy) and later demonstrated evidence of recurrent renal cell carcinoma on follow up imaging. All three patients underwent surgical resection of the suspected recurrences with final pathology consistent with tumefactive fat necrosis.
The three patients were 60, 74, and 39-years old, respectively. The previous definitive therapies for renal cell carcinoma were percutaneous ablation, RAPN, and nephrectomy. Each patient had previous surgical pathology that confirmed prior renal cell carcinoma. Signs of recurrence on diagnostic imaging occurred 2 years, 23 months, and 8 months post-definitive therapy.
In patients with a history of renal cell carcinoma, consideration of fat necrosis should be taken into account upon seeing imaging concerning for tumor recurrence. Continued analysis of cases with such a diagnosis will be beneficial in recognizing this possibility to avoid unnecessary surgery or therapy when possible.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2021.05.051</identifier><identifier>PMID: 34144072</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Biopsy - methods ; Carcinoma, Renal Cell - pathology ; Carcinoma, Renal Cell - surgery ; Cryosurgery - adverse effects ; Cryosurgery - methods ; Diagnosis, Differential ; Fat Necrosis - diagnostic imaging ; Fat Necrosis - etiology ; Fat Necrosis - surgery ; Female ; Humans ; Kidney Neoplasms - pathology ; Kidney Neoplasms - surgery ; Male ; Middle Aged ; Neoplasm Recurrence, Local - diagnosis ; Nephrectomy - adverse effects ; Nephrectomy - methods ; Postoperative Complications - diagnosis ; Postoperative Complications - etiology ; Reoperation - methods ; Tomography, X-Ray Computed - methods ; Treatment Outcome</subject><ispartof>Urology (Ridgewood, N.J.), 2021-10, Vol.156, p.181-184</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-9171ae7c51171d207eb03a9679d63ce3cb6934c98c34122c4728b1b37421ab4d3</citedby><cites>FETCH-LOGICAL-c365t-9171ae7c51171d207eb03a9679d63ce3cb6934c98c34122c4728b1b37421ab4d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0090429521004799$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34144072$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Geldmaker, Laura E.</creatorcontrib><creatorcontrib>Ericson, Christian A.</creatorcontrib><creatorcontrib>Baird, Bryce A.</creatorcontrib><creatorcontrib>Haehn, Daniela A.</creatorcontrib><creatorcontrib>Zhai, Qihui (Jim)</creatorcontrib><creatorcontrib>Nassar, Aziza</creatorcontrib><creatorcontrib>Thiel, David D.</creatorcontrib><title>Fat Necrosis Mimicking Renal Cell Carcinoma Recurrence Following Cryotherapy, Partial Nephrectomy, and Nephrectomy</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>To present our experience with three patients surgically treated for suspected recurrent renal cell carcinoma whose final pathology was consistent with tumefactive fat necrosis.
Three patients underwent definitive therapy for biopsy proven renal cell carcinoma (cryoablation, partial nephrectomy, and nephrectomy) and later demonstrated evidence of recurrent renal cell carcinoma on follow up imaging. All three patients underwent surgical resection of the suspected recurrences with final pathology consistent with tumefactive fat necrosis.
The three patients were 60, 74, and 39-years old, respectively. The previous definitive therapies for renal cell carcinoma were percutaneous ablation, RAPN, and nephrectomy. Each patient had previous surgical pathology that confirmed prior renal cell carcinoma. Signs of recurrence on diagnostic imaging occurred 2 years, 23 months, and 8 months post-definitive therapy.
In patients with a history of renal cell carcinoma, consideration of fat necrosis should be taken into account upon seeing imaging concerning for tumor recurrence. Continued analysis of cases with such a diagnosis will be beneficial in recognizing this possibility to avoid unnecessary surgery or therapy when possible.</description><subject>Adult</subject><subject>Aged</subject><subject>Biopsy - methods</subject><subject>Carcinoma, Renal Cell - pathology</subject><subject>Carcinoma, Renal Cell - surgery</subject><subject>Cryosurgery - adverse effects</subject><subject>Cryosurgery - methods</subject><subject>Diagnosis, Differential</subject><subject>Fat Necrosis - diagnostic imaging</subject><subject>Fat Necrosis - etiology</subject><subject>Fat Necrosis - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Neoplasms - pathology</subject><subject>Kidney Neoplasms - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - diagnosis</subject><subject>Nephrectomy - adverse effects</subject><subject>Nephrectomy - methods</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - etiology</subject><subject>Reoperation - methods</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLxDAUhYMoOj5-gtKlCzvm2ZiVyOCooKOIrkOaXjVj24xJq8y_N2VGcSdcknA4J5fzIXRI8JhgUpzOx33wtX9djimmZIxFGrKBRkRQmSulxCYaYaxwzqkSO2g3xjnGuCgKuY12GCecY0lHKExNl83ABh9dzO5c4-y7a1-zR2hNnU2gTocJ1rW-MUm0fQjQWsimvq791-CchKXv3iCYxfIkezChcyk4g8VbANv5Jommrf4K-2jrxdQRDtb3HnqeXj5NrvPb-6ubycVtblkhulwRSQxIK0h6VBRLKDEzqpCqKpgFZstCMW7VmU1tKLVc0rOSlExySkzJK7aHjlf_LoL_6CF2unHRpkamBd9HTQVnXDDOebKKlXXgEAO86EVwjQlLTbAecOu5XuPWA26NRRqSckfrFX3ZQPWb-uGbDOcrA6Sinw6CjtYNACs30NCVd_-s-AY8gJR_</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Geldmaker, Laura E.</creator><creator>Ericson, Christian A.</creator><creator>Baird, Bryce A.</creator><creator>Haehn, Daniela A.</creator><creator>Zhai, Qihui (Jim)</creator><creator>Nassar, Aziza</creator><creator>Thiel, David D.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202110</creationdate><title>Fat Necrosis Mimicking Renal Cell Carcinoma Recurrence Following Cryotherapy, Partial Nephrectomy, and Nephrectomy</title><author>Geldmaker, Laura E. ; Ericson, Christian A. ; Baird, Bryce A. ; Haehn, Daniela A. ; Zhai, Qihui (Jim) ; Nassar, Aziza ; Thiel, David D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-9171ae7c51171d207eb03a9679d63ce3cb6934c98c34122c4728b1b37421ab4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biopsy - methods</topic><topic>Carcinoma, Renal Cell - pathology</topic><topic>Carcinoma, Renal Cell - surgery</topic><topic>Cryosurgery - adverse effects</topic><topic>Cryosurgery - methods</topic><topic>Diagnosis, Differential</topic><topic>Fat Necrosis - diagnostic imaging</topic><topic>Fat Necrosis - etiology</topic><topic>Fat Necrosis - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Neoplasms - pathology</topic><topic>Kidney Neoplasms - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - diagnosis</topic><topic>Nephrectomy - adverse effects</topic><topic>Nephrectomy - methods</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - etiology</topic><topic>Reoperation - methods</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Geldmaker, Laura E.</creatorcontrib><creatorcontrib>Ericson, Christian A.</creatorcontrib><creatorcontrib>Baird, Bryce A.</creatorcontrib><creatorcontrib>Haehn, Daniela A.</creatorcontrib><creatorcontrib>Zhai, Qihui (Jim)</creatorcontrib><creatorcontrib>Nassar, Aziza</creatorcontrib><creatorcontrib>Thiel, David D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Geldmaker, Laura E.</au><au>Ericson, Christian A.</au><au>Baird, Bryce A.</au><au>Haehn, Daniela A.</au><au>Zhai, Qihui (Jim)</au><au>Nassar, Aziza</au><au>Thiel, David D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fat Necrosis Mimicking Renal Cell Carcinoma Recurrence Following Cryotherapy, Partial Nephrectomy, and Nephrectomy</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2021-10</date><risdate>2021</risdate><volume>156</volume><spage>181</spage><epage>184</epage><pages>181-184</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><abstract>To present our experience with three patients surgically treated for suspected recurrent renal cell carcinoma whose final pathology was consistent with tumefactive fat necrosis.
Three patients underwent definitive therapy for biopsy proven renal cell carcinoma (cryoablation, partial nephrectomy, and nephrectomy) and later demonstrated evidence of recurrent renal cell carcinoma on follow up imaging. All three patients underwent surgical resection of the suspected recurrences with final pathology consistent with tumefactive fat necrosis.
The three patients were 60, 74, and 39-years old, respectively. The previous definitive therapies for renal cell carcinoma were percutaneous ablation, RAPN, and nephrectomy. Each patient had previous surgical pathology that confirmed prior renal cell carcinoma. Signs of recurrence on diagnostic imaging occurred 2 years, 23 months, and 8 months post-definitive therapy.
In patients with a history of renal cell carcinoma, consideration of fat necrosis should be taken into account upon seeing imaging concerning for tumor recurrence. Continued analysis of cases with such a diagnosis will be beneficial in recognizing this possibility to avoid unnecessary surgery or therapy when possible.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34144072</pmid><doi>10.1016/j.urology.2021.05.051</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Biopsy - methods Carcinoma, Renal Cell - pathology Carcinoma, Renal Cell - surgery Cryosurgery - adverse effects Cryosurgery - methods Diagnosis, Differential Fat Necrosis - diagnostic imaging Fat Necrosis - etiology Fat Necrosis - surgery Female Humans Kidney Neoplasms - pathology Kidney Neoplasms - surgery Male Middle Aged Neoplasm Recurrence, Local - diagnosis Nephrectomy - adverse effects Nephrectomy - methods Postoperative Complications - diagnosis Postoperative Complications - etiology Reoperation - methods Tomography, X-Ray Computed - methods Treatment Outcome |
| title | Fat Necrosis Mimicking Renal Cell Carcinoma Recurrence Following Cryotherapy, Partial Nephrectomy, and Nephrectomy |
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