Polypoid Gallbladder Lesion in the Context of Renal Cell Carcinoma

Abstract

Introduction. The only curative therapeutic approach for renal cell carcinoma (RCC) is surgery. Laparoscopic surgery for RCC has become an established surgical procedure with equivalent cancer-free survival rate, following the same surgical oncological principles as open surgery. Metastatic RCC of the gallbladder is a rare phenomenon. Hence, there are few reports regarding their management. Case Presentation. We report 2 cases of gallbladder metastasis from clear cell RCC treated by laparoscopic cholecystectomy. The first case was that of a 44-year-old male patient who underwent palliative cholecystectomy, the second case was that of an 83-year-old female patient who is doing well 55 months after surgery without evidence of disease recurrence. Conclusion. The outcome allows us to demonstrate the interest of surgical resection of RCC metastases in the gallbladder by laparoscopic cholecystectomy, respecting surgical oncological principles. Laparoscopic resection of an uncommon gallbladder metastasis can provide long-term favorable outcome.

Synchronous Metastatic Clear Cell Renal Cell Carcinoma to the Gallbladder With Metachronous Contralateral Recurrence

“…Identification and resection of solitary metastatic lesions in addition to the primary has a known survival benefit, and in particular, successful outcomes have been published following resection of gallbladder metastases when R0 resections are performed [ 4 , 8 , 9 ]. While rare, identification of a gallbladder lesion in a patient with a history of RCC should prompt consideration of renal metastasis and subsequent cholecystectomy.…”

Unexpected Gallbladder Metastasis of Clear Cell Renal Carcinoma

“…Identification and resection of solitary/localized metastases from RCC has a proven survival benefit, and evidence of good outcomes after resection of gallbladder metastases has been published. 12,13…”