https://mail.jkcvhl.com/~jkcvhlco/index.php/jkcvhl/issue/feed Journal of Kidney Cancer and VHL 2022-08-16T15:37:38+00:00 ​Dr. Ulka Vaishampayan sbryant@codonpublications.com Open Journal Systems <p>Journal of Kidney Cancer and VHL (ISSN: 2203-5826) is indexed in <strong>PubMed</strong>,&nbsp;Emerging Sources Citation Index&nbsp;of <strong>Web of Science</strong>, and the Directory of Open Access Journals (<strong>DOAJ</strong>). Journal is dedicated for the dissemination of research findings in kidney cancer and VHL.</p> https://mail.jkcvhl.com/~jkcvhlco/index.php/jkcvhl/article/view/231 Successful Surgical Management of Locally Advanced Renal Cell Carcinoma Invading Spleen and Pancreas 2022-03-22T00:06:31+00:00 Mohamed Sharafeldeen abdelsattar20581@gmail.com Vahid Mehrnoush vahidmehrnoush7@gmail.com Asmaa Ismail asmaaismail0782@gmail.com Ahmed Zakaria aszakaria81@yahoo.com Hazem Elmansy hazemuro100@yahoo.com Walid Shahrour walid.shahrour@gmail.com Owen Prowse owenprowse@rogers.ca Ahmed Kotb drahmedfali@gmail.com <p>Over the last two decades, the treatment of metastatic RCC has changed significantly, and the role of surgery is being debated. A 50-year-old man presented with pain in his left loin. An ultrasound, followed by a CT scan, revealed a 17.5 cm left renal mass invading the left suprarenal gland, spleen, and pancreatic tail. Radical nephrectomy through chevron incision under epidural block with general anesthesia was performed. The entire mass was removed en bloc. The estimated blood loss was 300 mL, and no blood transfusions were performed. The operation took approximately 2 h. Histological examination revealed clear cell renal carcinoma with extension into the spleen, pancreatic tail, and diaphragmatic fibers with negative resection margin. The patient discharged after a 3-day uneventful hospital stay. Aggressive surgical removal of a locally invasive renal cell carcinoma is feasible and should be considered in patients with good performance status and no or minimal distant metastases.</p> 2022-08-12T00:00:00+00:00 Copyright (c) 2022 Mohamed Sharafeldeen, Vahid Mehrnoush, Asmaa Ismail, Ahmed Zakaria, Hazem Elmansy, Walid Shahrour, Owen Prowse, Ahmed Kotb