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Journal of Case Reports
Isolated Solitary Metachronus Perirenal Metastasis in a Distal Gastric Cancer
Deepak Prakash Bhirud, Sunil Kumar, Shiv Charan Navriya, Satish Kumar Ranjan, Kim Jacob Mammen
Department of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Corresponding Author:
Dr Sunil Kumar
Email: chaurasiasunilbdev@gmail.com
Received: 08-NOV-2019 Accepted: 30-MAR-2020 Published Online: 10-APR-2020
DOI: http://dx.doi.org/10.17659/01.2020.0019
Background:  Perirenal metastasis in gastric adenocarcinoma is rarely reported. We report an isolated solitary perirenal metastasis from gastric adenocarcinoma in a metachronus setting. Case Report:  A 46 year old male patient, with a history of carcinoma stomach, and distal gastrectomy and adjuvant chemo-radiotherapy, came for regular follow up.  His four year follow up CT scan showed a 3×3×3 cm mass in right perirenal space and it was FDG avid on PET CT. He underwent robot assisted laparoscopic excision of mass. It was adenocarcinoma suggestive of metastasis. Patient responded to 6 cycles of chemotherapy after metastectomy. This is the first case of isolated metachronus perirenal metastasis from adenocarcinoma of stomach. Conclusion: Gastric malignancy requires stringent follow up for timely detection of any metachronous metastasis and its appropriate treatment.
Keywords : Adenocarcinoma, Chemotherapy, Gastrectomy, Laparoscopy, Robotics, Stomach Neoplasms.
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