Abstract

Local regional recurrence of renal cell cancer post-nephrectomy most often occurs within three years after surgery. Post-nephrectomy, many processes may mimic RCC recurrence. We present the case of a 75 year-old Caucasian male patient with a mass in his renal fossa post-nephrectomy for renal cell cancer, suggesting local recurrence. Use of the technetium-99m sulfur colloid scan showed that the mass was his spleen which had been displaced into the renal fossa. With high index of suspicion, characterization of these processes as splenic in origin would prevent subjecting patients to risks of biopsy or even surgery.

Highlights

  • It is estimated that 63,920 new cases of kidney and renal pelvis cancer were diagnosed in the United States in 2014, and 13,860 patients succumbed to the disease [1]

  • We present the case of a 75 year-old Caucasian male patient who presented to our institution for evaluation of a rapidly growing left renal mass

  • Local regional recurrence of renal cell carcinoma (RCC) postnephrectomy most often occurs within three years after surgery

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Summary

Introduction

It is estimated that 63,920 new cases of kidney and renal pelvis cancer were diagnosed in the United States in 2014, and 13,860 patients succumbed to the disease [1]. Displacement of the Spleen Mimicking Renal Cell Cancer Recurrence Post-Nephrectomy: A Case Report. We present a unique case of spleen appearing as recurrent tumor after migrating in the surgical defect created by total Journal of Kidney Cancer and VHL 2015; 2(3):130-133.

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