scholarly journals Inflammatory Pseudotumor Formation at a Port Site after Robotic Partial Nephrectomy for Renal Cell Carcinoma

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Mitsuo Ofude ◽  
Ryunosuke Nakagawa ◽  
Satoko Urata ◽  
Tohru Miyagi ◽  
Takao Nakashima ◽  
...  

Inflammatory pseudotumors (IPTs) are benign masses arising from nonspecific inflammatory conditions including surgical invasion. We herein report the rare case of an IPT mimicking port-site metastasis in a 69-year-old patient who underwent retroperitoneal robotic partial nephrectomy for stage T1a renal cell carcinoma. Radiological examination performed six months after the surgery revealed the presence of a mass underneath the abdominal wall which coincided with a port site. The tumor was resected by laparoscopic transperitoneal approach, and histological examination led to the diagnosis of an IPT that consists of xanthogranulomatous inflammation. We also discuss the etiology of IPT formation and features distinguishing IPTs from port-site metastasis.

2013 ◽  
Vol 27 (6) ◽  
pp. 732-739 ◽  
Author(s):  
Joseph B. Song ◽  
Youssef S. Tanagho ◽  
Eric H. Kim ◽  
Phillip H. Abbosh ◽  
Goutham Vemana ◽  
...  

2014 ◽  
Vol 192 (2) ◽  
pp. 364-368 ◽  
Author(s):  
Joseph Song ◽  
Eric Kim ◽  
Jonathan Mobley ◽  
Goutham Vemana ◽  
Youssef Tanagho ◽  
...  

2009 ◽  
Vol 28 (1) ◽  
pp. 111-115 ◽  
Author(s):  
Yu Gong ◽  
Chuanjun Du ◽  
David Y. Josephson ◽  
Timothy G. Wilson ◽  
Rebecca Nelson

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Christopher Caputo ◽  
Ziho Lee ◽  
Andrew Harbin ◽  
Daniel Eun

We describe a case in which a patient with a past medical history of ovarian cancer received a diagnostic renal biopsy for an incidentally discovered renal mass. During left robotic partial nephrectomy (RPN), a perinephric hematoma was encountered. The hematoma was not present on preoperative imaging and was likely a result of the renal biopsy. The renal cell carcinoma (RCC) and the associated hematoma were widely excised with negative surgical margins. On follow-up imaging at five months postoperatively, a recurrent renal mass at the surgical resection bed and several new nodules in the omentum were detected. During completion left robotic total nephrectomy and omental excision, intraoperative frozen sections confirmed metastatic RCC. We believe that a hematoma seeded with RCC formed as a result of the renal biopsy, and subsequent disruption of the hematoma during RPN caused contamination of RCC into the surrounding structures.


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