Renal cancer seeding metastases following retroperitoneoscopic-assisted cryoablation: A case report

Nephron-sparing laparoscopy is the standard surgical treatment for clinical T1a renal tumours. However, the laparoscopic technique brings in its specific oncological safety concerns. Seeding metastases are reported: peritoneal metastases, port-tract metastases, and (sub-) cutaneous metastases. The m...

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Veröffentlicht in:Canadian Urological Association journal 2015-09, Vol.9 (9-10), p.E641-E643
Hauptverfasser: van de Kamp, Maaike W, Kortekaas, Bettina, Lagerveld, Brunolf W
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container_end_page E643
container_issue 9-10
container_start_page E641
container_title Canadian Urological Association journal
container_volume 9
creator van de Kamp, Maaike W
Kortekaas, Bettina
Lagerveld, Brunolf W
description Nephron-sparing laparoscopy is the standard surgical treatment for clinical T1a renal tumours. However, the laparoscopic technique brings in its specific oncological safety concerns. Seeding metastases are reported: peritoneal metastases, port-tract metastases, and (sub-) cutaneous metastases. The method of laparoscopic assisted renal mass cryoablation is marked by the fact that traumatic tumour tissue handling is unavoidable. This case report reviews the rare occasion of seeding metastases in the retroperitoneal space following laparoscopic cryoablation of a small renal mass. The primary tumour showed no focal recurrence as reported by histological examination. The combination of two events as harming the integrity of cancer tissue and gas-circulation leading to the development of metastases in the retroperitoneal cavity is discussed. The combination of iatrogenic harming cancer tissue integrity and CO2-circulation leads to metastases in the retroperitoneal cavity. Therefore, we recommend performing image-guided renal mass biopsies before considering cryoablative surgery.
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subjects Care and treatment
Case Report
Chronic kidney failure
Hypothermia, Induced
Patient outcomes
title Renal cancer seeding metastases following retroperitoneoscopic-assisted cryoablation: A case report
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