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Case Reports in Surgery
Volume 2013, Article ID 596362, 4 pages
Case Report

Management of Locally Advanced Renal Cell Carcinoma with Invasion of the Duodenum

1Department of General Surgery, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA
2University of Utah, School of Medicine, 30 North 1900 East, Salt Lake City, UT 84132, USA
3Department of Urology, Queens Medical Center, 1329 Lusitana Street, Suite 108, Honolulu, HI 96813, USA
4Department of Surgery, University of Hawaii School of Medicine, 550 South Beretania Street, Suite 403, Honolulu, HI 96813, USA

Received 7 February 2013; Accepted 11 March 2013

Academic Editors: J. Griniatsos, M. Nikfarjam, O. Olsha, G. Sandblom, and G. Santori

Copyright © 2013 Andrew T. Schlussel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Renal cell carcinoma (RCC) is rare but aggressive, with greater than 20% of patients presenting with stage III or IV, disease. Surgical resection of the primary tumor regardless of stage is the treatment of choice, and en bloc resection of involved organs provides the only potential chance for cure. This case report describes a patient with metastatic right-sided RCC with invasion of the inferior vena cava and duodenum managed by en block resection and pancreaticoduodenectomy. This report will review the workup and treatment of locally advanced RCC, as well as the role of cytoreductive nephrectomy in the setting of metastatic disease.