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 |
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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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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. 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Therefore, we recommend performing image-guided renal mass biopsies before considering cryoablative surgery.</description><subject>Care and treatment</subject><subject>Case Report</subject><subject>Chronic kidney failure</subject><subject>Hypothermia, Induced</subject><subject>Patient outcomes</subject><issn>1911-6470</issn><issn>1920-1214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNptkl2L1DAUhoso7rp64R-QoiB60TFJ06b1QhgWPxYWBT-uw2l6OpMl03RzUnX_vSm7LjMwJJDw5jlvyMmbZc85W1Wyad-ZGa5WoqnYg-yUt4IVXHD5cNlzXtRSsZPsCdEVY3VS1OPsRNRSVKJkp5n5jiO43MBoMOSE2Ntxk-8wAqWJlA_eOf9nEQPG4CcMNvoRPRk_WVMAkaWIfW7CjYfOQbR-fJ-vkyNhKpl8iE-zRwM4wmd361n269PHn-dfistvny_O15eFKaWUBedcKRw6BVDWEltR131XCdk3SgJ0rO0b4IOR0DAmZWuwV5UyQ9WbBHAly7Psw63vNHc77A2OMYDTU7A7CDfag9WHJ6Pd6o3_rWXV8LZcDN7cGQR_PSNFvbNk0DlID55Jc8WblqW72oS-ukU34FDbcfDJ0Sy4XsuyFEzUTCXq5RHKTPZa70OrI1AaPe6sSb0ebNIPXN8eFCQm4t-4gZlIX_z4esi-3mO3CC5uybt5-SY6amqCJwo43PeNM72kTC8p00vKEvtiv9H35P9Ylf8AO4zL7A</recordid><startdate>201509</startdate><enddate>201509</enddate><creator>van de Kamp, Maaike W</creator><creator>Kortekaas, Bettina</creator><creator>Lagerveld, Brunolf W</creator><general>Canadian Urological Association</general><general>Canadian Medical Association</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISN</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201509</creationdate><title>Renal cancer seeding metastases following retroperitoneoscopic-assisted cryoablation: A case report</title><author>van de Kamp, Maaike W ; Kortekaas, Bettina ; Lagerveld, Brunolf W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3444-11177efb7aa364e9266db524d874aab09d8a1fc4a800449ced757cf5dc8741743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Care and treatment</topic><topic>Case Report</topic><topic>Chronic kidney failure</topic><topic>Hypothermia, Induced</topic><topic>Patient outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van de Kamp, Maaike W</creatorcontrib><creatorcontrib>Kortekaas, Bettina</creatorcontrib><creatorcontrib>Lagerveld, Brunolf W</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Canada</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian Urological Association journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van de Kamp, Maaike W</au><au>Kortekaas, Bettina</au><au>Lagerveld, Brunolf W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Renal cancer seeding metastases following retroperitoneoscopic-assisted cryoablation: A case report</atitle><jtitle>Canadian Urological Association journal</jtitle><addtitle>Can Urol Assoc J</addtitle><date>2015-09</date><risdate>2015</risdate><volume>9</volume><issue>9-10</issue><spage>E641</spage><epage>E643</epage><pages>E641-E643</pages><issn>1911-6470</issn><eissn>1920-1214</eissn><abstract>Nephron-sparing laparoscopy is the standard surgical treatment for clinical T1a renal tumours. 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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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