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Renal Cell Carcinoma Invading Duodenum: Management by Pancreaticoduodenectomy and Discussion of Treatments
Juan Chipollini1 and Gaetano Ciancio1,2*
1Department of Urology, University of Miami Miller School of Medicine, Miami, Florida, USA
2Department of Surgery, Division of Transplantation, Miami Transplant Institute, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, Florida, USA
- Corresponding Author:
- Gaetano Ciancio, M.D
University of Miami Miller School of Medicine
Department of Surgery and Urology
University of Miami Miller School of Medicine
Jackson Memorial Hospital, Miami Fl
Miami Transplant Institute, P.O. Box 012440
Miami, Fl 33101, USA
Tel: (305) 355-5460
Fax: (305) 355-5797
E-mail: gciancio@med.miami.edu
Received Date: February 9, 2016 Accepted Date: February 29 2016 Published Date: March 06, 2016
Citation:Chipollini J, Ciancio G (2016) Renal Cell Carcinoma Invading Duodenum: Management by Ancreaticoduodenectomy and Discussion of Treatments. J Gastrointest Dig Syst 6:394. doi:10.4172/2161-069X.1000394
Copyright: © 2016 Chipollini J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
At present, complete surgical resection remains the standard for curative intervention in cases of locally advanced renal cell carcinoma (RCC) although the role of surgery in cases of adjacent visceral invasion remains controversial. We report a case of a right sided RCC involving the duodenum and head of pancreas in which en-bloc resection was achieved by radical nephrectomy and concomitant pancreaticoduodenectomy. For those patients with good performance status, aggressive interventions should be thoroughly discussed along with the role of targeted systemic therapies in the adjuvant setting.
