Category: Other, Miscellaneous

VS15-2 - Percutaneous Resection of Metastatic Renal Cell Carcinoma

Sun, Sep 23
10:00 AM - 12:00 PM

Introduction & Objective : Metastasis-directed therapy of small solitary foci of metastatic renal cell carcinoma has been associated with improved survival. Percutaneous resection of tumors in the upper tract urinary system has been widely used for treatment of localized urothelial carcinoma, however, its role in renal cell carcinoma has not been described. Herein, we present the first case of patient undergoing percutaneous resection of renal cell carcinoma in the contralateral renal pelvis. 


Methods :

This is a case report describing the diagnosis, management and surgical approach to renal cell carcinoma recurrence in the contralateral renal pelvis. 


Results :

Our patient was a 75-year-old male with a history of renal cell carcinoma status post radical nephrectomy who developed a solitary 2 cm recurrence in the contralateral renal pelvis, which was found after he presented with gross hematuria. He underwent successful percutaneous resection of this recurrence with final pathology showing clear cell renal cell carcinoma. 


Conclusions :

We present the first case of renal cell carcinoma recurrence in the contralateral renal pelvis treated with percutaneous resection. 

Aaron M. Potretzke

Senior Associate Consultant
Department of Urology, Mayo Clinic, Rochester, MN
Rochester, Minnesota

Aaron Mark Potretzke, MD is an assistant professor and senior associate consultant at the Mayo Clinic in Rochester, MN. He completed residency at the University of Wisconsin in Madison, WI and a two-year fellowship in Minimally Invasive Urologic Surgery and Endourology at Washington University in St. Louis, MO. His clinical interests include minimally invasive management of renal and upper tract urothelial cancer, as well as upper urinary tract obstructive disease and urolithiasis. His research focuses on renal and upper tract urothelial cancer.

Amir Toussi

Department of Urology, Mayo Clinic, Rochester, MN
Rochester, Minnesota

Bradley C. Leibovich

Department of Urology, Mayo Clinic, Rochester, MN
Rochester, Minnesota

Deepak K. Agarwal

Resident Physician
Mayo Clinic (Rochester)
Rochester, Minnesota