Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press37210.17650/2686-9594-2019-9-4-43-47CASE REPORTКЛИНИЧЕСКОЕ НАБЛЮДЕНИЕSurgical management of pancreatic and colon metastases of kidney cancer: case report and review of literatureХирургическая тактика при сочетанных метастазах рака почки в толстой кишке и поджелудочной железе: клиническое наблюдение и обзор литературыhttps://orcid.org/0000-0002-2811-0549KotelnikovA. G.КотельниковА. Г.
Russian Federation

23 Kashirskoe Shosse, Moscow 115478

115478 Москва, Каширское шоссе, 23

https://orcid.org/0000-0001-7375-3378PodluzhnyyD. V.ПодлужныйД. В.
Russian Federation

23 Kashirskoe Shosse, Moscow 115478

115478 Москва, Каширское шоссе, 23

https://orcid.org/0000-0002-4863-0832ProskuryakovI. S.ПроскуряковИ. С.
Russian Federation

23 Kashirskoe Shosse, Moscow 115478

 Проскуряков Илья Сергеевич

 

115478 Москва, Каширское шоссе, 23ilya19g@gmail.comhttps://orcid.org/0000-0002-1015-472XSinelnikovI. E.СинельниковИ. Е.
Russian Federation

23 Kashirskoe Shosse, Moscow 115478; Build. 4, 2 Bolshaya Pirogovskaya St., 119991 Moscow

115478 Москва, Каширское шоссе, 23; 119991 Москва, ул. Большая Пироговская, 2, стр. 4

https://orcid.org/0000-0002-5692-0223PetenkoN. N.ПетенкоН. Н.
Russian Federation

23 Kashirskoe Shosse, Moscow 115478

115478 Москва, Каширское шоссе, 23

https://orcid.org/0000-0002-4006-3642VirshkeE. R.ВиршкеЭ. Р.
Russian Federation

23 Kashirskoe Shosse, Moscow 115478

115478 Москва, Каширское шоссе, 23

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииDepartment of Oncology, I.M. Sechenov First Moscow State Medical University (Sechenov University)кафедра онкологии ФГАОУ ВО «Первый московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)131120199443471311201913112019Copyright ©; 2019, Kotelnikov A.G., Podluzhnyy D.V., Proskuryakov I.S., Sinelnikov I.E., Petenko N.N., Virshke E.R.Copyright ©; 2019, Котельников А.Г., Подлужный Д.В., Проскуряков И.С., Синельников И.Е., Петенко Н.Н., Виршке Э.Р.2019Kotelnikov A.G., Podluzhnyy D.V., Proskuryakov I.S., Sinelnikov I.E., Petenko N.N., Virshke E.R.Котельников А.Г., Подлужный Д.В., Проскуряков И.С., Синельников И.Е., Петенко Н.Н., Виршке Э.Р.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/372

This article presents the experience of surgical management of pancreatic and colon metastases from kidney cancer, detected 10 years after nephrectomy. Atypical resection of the pancreas combined with right-sided hemicolectomy was performed. The postoperative period turned out uneventful. Histological examination showed that lesions of pancreas and colon were metastases from a clear renal cell carcinoma. Disease progression was noted 2 years after surgery. The patient received appropriate treatment and was alive for 14 years after surgery.

Прогрессирование рака почки может возникнуть спустя многие годы после удаления первичной опухоли и проявиться неординарно. В статье приведено описание редкого клинического наблюдения сочетанного поражения поджелудочной железы и толстой кишки поздними метастазами данной опухоли, выявленными спустя 10 лет после нефрэктомии. Пациенту было проведено хирургическое лечение в объеме правосторонней гемиколэктомии и атипичной резекции поджелудочной железы, без осложнений. При патоморфологическом исследовании в обоих органах верифицированы метастазы светлоклеточного почечно-клеточного рака. Спустя 2 года отмечено прогрессирование заболевания, по поводу которого проводилось комбинированное лечение. Пациент жив на протяжении 14 лет после вышеуказанной операции.

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