Journal of Kidney Cancer and VHL https://mail.jkcvhl.com/~jkcvhlco/index.php/jkcvhl <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> en-US sbryant@codonpublications.com (​Dr. Ulka Vaishampayan) sbryant@codonpublications.com (Scott Bryant, Managing Editor) Tue, 16 Aug 2022 15:37:38 +0000 OJS 3.3.0.10 http://blogs.law.harvard.edu/tech/rss 60 Successful Surgical Management of Locally Advanced Renal Cell Carcinoma Invading Spleen and Pancreas https://mail.jkcvhl.com/~jkcvhlco/index.php/jkcvhl/article/view/231 <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> Mohamed Sharafeldeen, Vahid Mehrnoush, Asmaa Ismail, Ahmed Zakaria, Hazem Elmansy, Walid Shahrour, Owen Prowse, Ahmed Kotb Copyright (c) 2022 Mohamed Sharafeldeen, Vahid Mehrnoush, Asmaa Ismail, Ahmed Zakaria, Hazem Elmansy, Walid Shahrour, Owen Prowse, Ahmed Kotb https://creativecommons.org/licenses/by-nc-nd/4.0 https://mail.jkcvhl.com/~jkcvhlco/index.php/jkcvhl/article/view/231 Fri, 12 Aug 2022 00:00:00 +0000