Hybrid Endoscopic Submucosal Dissection for Isolated Gastric Metastasis of Renal Cell Carcinoma.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY ACG Case Reports Journal Pub Date : 2024-10-31 eCollection Date: 2024-11-01 DOI:10.14309/crj.0000000000001548
Ahmad Alomari, Mark Obri, Basel Aldroubi, Muhammad Zarrar Khan, Ammad Chaudhary, Ismail Althunibat, Cyrus Piraka, Tobias Zuchelli
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Abstract

Metastasis to the stomach is a rare occurrence, especially from renal cell carcinoma (RCC). We report a case of a 76-year-old man with a history of RCC, in remission for 11 years postnephrectomy, who presented with gastrointestinal symptoms, was found to have a 2 cm gastric mass confirmed as metastatic RCC. Endoscopic submucosal dissection was attempted, but due to the hypervascular nature of the mass, a hybrid endoscopic submucosal dissection was performed, achieving complete resection. Follow-up at 7 months showed no recurrence, highlighting the potential for endoscopic treatment options for isolated gastric metastasis, despite the lack of specific guidelines.

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混合内镜黏膜下剥离术治疗肾细胞癌的孤立胃转移灶
胃癌转移非常罕见,尤其是肾细胞癌(RCC)。我们报告了一例 76 岁的男性病例,他有 RCC 病史,在肾切除术后缓解了 11 年,出现了胃肠道症状,被发现有一个 2 厘米的胃肿块,确诊为转移性 RCC。医生尝试在内镜下进行黏膜下剥离,但由于肿块血管较多,于是进行了混合内镜下黏膜下剥离,实现了完全切除。7个月的随访结果显示没有复发,这凸显了内镜治疗孤立性胃转移瘤的潜力,尽管目前还没有具体的指南。
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来源期刊
ACG Case Reports Journal
ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-
自引率
14.30%
发文量
170
审稿时长
12 weeks
期刊介绍: ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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