ArticleInternational journal of surgery case reports2026
Late recurrence after radical nephrectomy for renal cell carcinoma in a patient with horseshoe kidney: a case report.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Horseshoe kidney (HSK) is the most common renal fusion malformation. Renal cell carcinoma (RCC) is the most prevalent malignancy reported in this anomaly. Case presentation: We present the case of a 61-year-old man with multiple recurrences of RCC in the context of HSK and pancreatic metastasis during a 15-year follow-up. He was initially diagnosed in January 2011 with a renal mass in the left lower pole of the HSK and underwent a left partial nephrectomy, which confirmed RCC. Recurrences followed, necessitating another partial nephrectomy in April 2014 and a left radical nephrectomy 3 months later. In January 2025, he was found to have a mass in the upper pole of the right kidney and a mass in the pancreatic tail, both confirmed as RCC metastases. The patient received oncologic treatment after a multidisciplinary consultation. Discussion: This case emphasizes the importance of comprehensive interrogation in patients with a history of RCC due to the potential for asymptomatic recurrence or metastasis. Conclusion: HSK affects the therapeutic management of concurrent pathologies, such as malignancies. A history of RCC necessitates regular follow-up to evaluate for recurrence, regardless of the number of years since nephrectomy.
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