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Title: Papillary renal cell carcinoma with metastatic laparoscopic port site and vaginal involvement: A case report
Authors: Chuang, X.E
Loh, H.L 
Sim, H.G 
Fong, K.L
Tan, M.-H 
Keywords: sunitinib
antiangiogenic therapy
anticoagulant therapy
cancer diagnosis
cancer palliative therapy
cancer radiotherapy
cancer relapse
cancer surgery
case report
computer assisted tomography
human tissue
kidney carcinoma
laparoscopic port site metastasis
laparoscopic surgery
papillary carcinoma
papillary renal cell carcinoma
port site metastasis
priority journal
vagina bleeding
vagina carcinoma
Issue Date: 2011
Publisher: BMC
Citation: Chuang, X.E, Loh, H.L, Sim, H.G, Fong, K.L, Tan, M.-H (2011). Papillary renal cell carcinoma with metastatic laparoscopic port site and vaginal involvement: A case report. Journal of Medical Case Reports 5 : 131. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: Introduction. Laparoscopic port-site metastasis is a rare but well recognized outcome following surgery in urological cancers, with its etiology not clearly understood. Additionally, vaginal metastasis in clear cell renal cell carcinoma is rare, and has not been previously reported in the setting of papillary renal cell carcinoma. Case presentation. We present the case of a 71-year-old Chinese woman with metastatic type II papillary renal cell carcinoma with histologically verified vaginal involvement and a concurrent laparoscopic port-site metastasis. This was also associated with a unique constellation of widely disseminated metastatic sites, which include a local relapse, the peritoneum and the urethra. Conclusion: Laparoscopic port-site metastases are associated with the presence of advanced cancer with multiple sites of metastasis. We hypothesize from the findings of our report and background data that this phenomenon is more likely to be related to tumor factors rather than operative factors. We also present what is, to the best of our knowledge, the first reported case in the literature of vaginal and urethral metastasis and the second reported case of laparoscopic port-site recurrence. © 2011 Chuang et al; licensee BioMed Central Ltd.
Source Title: Journal of Medical Case Reports
ISSN: 1752-1947
DOI: 10.1186/1752-1947-5-131
Rights: Attribution 4.0 International
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