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Synchronous gallbladder metastasis of renal cell carcinoma presenting as a gallbladder polyp: A case report

RATIONALE: Gallbladder polyps are common in the general population, but gallbladder metastasis of renal cell carcinoma (RCC) is very rare. In a patient with RCC diagnosed with a small gallbladder polyp that does not meet the traditional size criteria, the surgeon faces a dilemma of whether cholecyst...

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Autores principales: Cho, Sung Hoon, Han, Young Seok, Han, Ja Ryung, Kwon, Hyung Jun, Choi, Seock Hwan, Kim, Hyun Tae, Han, Man-Hoon, Chun, Jae Min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837895/
https://www.ncbi.nlm.nih.gov/pubmed/33546003
http://dx.doi.org/10.1097/MD.0000000000024037
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author Cho, Sung Hoon
Han, Young Seok
Han, Ja Ryung
Kwon, Hyung Jun
Choi, Seock Hwan
Kim, Hyun Tae
Han, Man-Hoon
Chun, Jae Min
author_facet Cho, Sung Hoon
Han, Young Seok
Han, Ja Ryung
Kwon, Hyung Jun
Choi, Seock Hwan
Kim, Hyun Tae
Han, Man-Hoon
Chun, Jae Min
author_sort Cho, Sung Hoon
collection PubMed
description RATIONALE: Gallbladder polyps are common in the general population, but gallbladder metastasis of renal cell carcinoma (RCC) is very rare. In a patient with RCC diagnosed with a small gallbladder polyp that does not meet the traditional size criteria, the surgeon faces a dilemma of whether cholecystectomy should be performed given the possibility of metastasis. PATIENT CONCERNS: A 55-year-old man who had received a left nephrectomy for RCC presented with a gallbladder polyp that was noted at the time of the nephrectomy. Imaging showed the maximum diameter of the polyp had increased from 5 mm to 24 mm in the 40 months after the initial diagnosis. DIAGNOSIS: Pathological and immunohistology findings confirmed the gallbladder polyp as a metastasis of clear-cell RCC. INTERVENTIONS: : We performed a laparoscopic cholecystectomy. OUTCOMES: Even though the synchronous solitary gallbladder metastasis was left untreated and a cholecystectomy was not performed over the 40 months, no metastasis occurred in other sites. The patient is free from disease 10 months after the cholecystectomy. LESSONS: Solitary gallbladder metastasis of RCC may have more favorable outcomes than typical metastases. Although gallbladder metastasis of RCC occur rarely, it can occur, and any changes in gallbladder polyps in RCC patients should be managed under a strong suspicion of metastasis.
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spelling pubmed-78378952021-01-27 Synchronous gallbladder metastasis of renal cell carcinoma presenting as a gallbladder polyp: A case report Cho, Sung Hoon Han, Young Seok Han, Ja Ryung Kwon, Hyung Jun Choi, Seock Hwan Kim, Hyun Tae Han, Man-Hoon Chun, Jae Min Medicine (Baltimore) 7100 RATIONALE: Gallbladder polyps are common in the general population, but gallbladder metastasis of renal cell carcinoma (RCC) is very rare. In a patient with RCC diagnosed with a small gallbladder polyp that does not meet the traditional size criteria, the surgeon faces a dilemma of whether cholecystectomy should be performed given the possibility of metastasis. PATIENT CONCERNS: A 55-year-old man who had received a left nephrectomy for RCC presented with a gallbladder polyp that was noted at the time of the nephrectomy. Imaging showed the maximum diameter of the polyp had increased from 5 mm to 24 mm in the 40 months after the initial diagnosis. DIAGNOSIS: Pathological and immunohistology findings confirmed the gallbladder polyp as a metastasis of clear-cell RCC. INTERVENTIONS: : We performed a laparoscopic cholecystectomy. OUTCOMES: Even though the synchronous solitary gallbladder metastasis was left untreated and a cholecystectomy was not performed over the 40 months, no metastasis occurred in other sites. The patient is free from disease 10 months after the cholecystectomy. LESSONS: Solitary gallbladder metastasis of RCC may have more favorable outcomes than typical metastases. Although gallbladder metastasis of RCC occur rarely, it can occur, and any changes in gallbladder polyps in RCC patients should be managed under a strong suspicion of metastasis. Lippincott Williams & Wilkins 2021-01-22 /pmc/articles/PMC7837895/ /pubmed/33546003 http://dx.doi.org/10.1097/MD.0000000000024037 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 7100
Cho, Sung Hoon
Han, Young Seok
Han, Ja Ryung
Kwon, Hyung Jun
Choi, Seock Hwan
Kim, Hyun Tae
Han, Man-Hoon
Chun, Jae Min
Synchronous gallbladder metastasis of renal cell carcinoma presenting as a gallbladder polyp: A case report
title Synchronous gallbladder metastasis of renal cell carcinoma presenting as a gallbladder polyp: A case report
title_full Synchronous gallbladder metastasis of renal cell carcinoma presenting as a gallbladder polyp: A case report
title_fullStr Synchronous gallbladder metastasis of renal cell carcinoma presenting as a gallbladder polyp: A case report
title_full_unstemmed Synchronous gallbladder metastasis of renal cell carcinoma presenting as a gallbladder polyp: A case report
title_short Synchronous gallbladder metastasis of renal cell carcinoma presenting as a gallbladder polyp: A case report
title_sort synchronous gallbladder metastasis of renal cell carcinoma presenting as a gallbladder polyp: a case report
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837895/
https://www.ncbi.nlm.nih.gov/pubmed/33546003
http://dx.doi.org/10.1097/MD.0000000000024037
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