Limits...
Multiple metastases of renal clear cell carcinoma to the organs of the head.

Sawicki P, Kaźmierczak W, Burduk P, Kaźmierczak H - Contemp Oncol (Pozn) (2014)

Bottom Line: Due to the extent of the tumour, diagnostics were extended to magnetic resonance imaging.The patient was qualified for tracheotomy, cytoreductive surgery, and chemoradiation.The patient was referred for further treatment at the Centre of Oncology in Bydgoszcz.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology, Ludwik Rydygier Medical College in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland.

ABSTRACT
Metastases of renal clear cell carcinoma to the organs of the head are rare. Single cases show that they can appear either shortly after or many years after radical surgery. The diagnosis of this cancer is difficult because of its insidious course; therefore, it is often diagnosed too late. Late diagnosis is associated with a high risk of distant metastases and increased mortality. The paper presents a case of a patient whose kidney tumour was diagnosed during hospitalisation at the Department of Rheumatology. Further diagnosis and surgical treatment were performed in the Department of Urology, where a left-sided nephrectomy was carried out. After two years, the patient was hospitalised in the Department of Otolaryngology due to dysphagia. The patient was subjected to fine-needle biopsy, surgical biopsy, CT, and ultrasound. Metastases of renal clear cell carcinoma were diagnosed based on a histopathological examination and the results of imaging studies. Due to the extent of the tumour, diagnostics were extended to magnetic resonance imaging. The patient was qualified for tracheotomy, cytoreductive surgery, and chemoradiation. The patient was referred for further treatment at the Centre of Oncology in Bydgoszcz.

No MeSH data available.


Related in: MedlinePlus

Computed tomography performed on 21.09.2012 – frontal projection
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4355657&req=5

Figure 0004: Computed tomography performed on 21.09.2012 – frontal projection

Mentions: Computed tomography revealed a pathological, irregular lesion located at the bottom of the oral cavity, on the right side and medially, ranging from the root of the tongue to the level of the hyoid bone, which was reinforced after contrast administration (size 44 × 64 × 76 mm). It reached the lower jaw in the front part and the hyoid bone in the lower part, without any signs of bone destruction. It connected with the epiglottis in the lower part. It crossed the midline. The submandibular lymph nodes measured 7–8 mm. In the medial part of the left cerebellar hemisphere, just below the fourth ventricle, there was an area of strong enforcement measuring 9 × 13 × 10 mm, a focal lesion, which demanded further diagnosis (Figs. 1–4).


Multiple metastases of renal clear cell carcinoma to the organs of the head.

Sawicki P, Kaźmierczak W, Burduk P, Kaźmierczak H - Contemp Oncol (Pozn) (2014)

Computed tomography performed on 21.09.2012 – frontal projection
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4355657&req=5

Figure 0004: Computed tomography performed on 21.09.2012 – frontal projection
Mentions: Computed tomography revealed a pathological, irregular lesion located at the bottom of the oral cavity, on the right side and medially, ranging from the root of the tongue to the level of the hyoid bone, which was reinforced after contrast administration (size 44 × 64 × 76 mm). It reached the lower jaw in the front part and the hyoid bone in the lower part, without any signs of bone destruction. It connected with the epiglottis in the lower part. It crossed the midline. The submandibular lymph nodes measured 7–8 mm. In the medial part of the left cerebellar hemisphere, just below the fourth ventricle, there was an area of strong enforcement measuring 9 × 13 × 10 mm, a focal lesion, which demanded further diagnosis (Figs. 1–4).

Bottom Line: Due to the extent of the tumour, diagnostics were extended to magnetic resonance imaging.The patient was qualified for tracheotomy, cytoreductive surgery, and chemoradiation.The patient was referred for further treatment at the Centre of Oncology in Bydgoszcz.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology, Ludwik Rydygier Medical College in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland.

ABSTRACT
Metastases of renal clear cell carcinoma to the organs of the head are rare. Single cases show that they can appear either shortly after or many years after radical surgery. The diagnosis of this cancer is difficult because of its insidious course; therefore, it is often diagnosed too late. Late diagnosis is associated with a high risk of distant metastases and increased mortality. The paper presents a case of a patient whose kidney tumour was diagnosed during hospitalisation at the Department of Rheumatology. Further diagnosis and surgical treatment were performed in the Department of Urology, where a left-sided nephrectomy was carried out. After two years, the patient was hospitalised in the Department of Otolaryngology due to dysphagia. The patient was subjected to fine-needle biopsy, surgical biopsy, CT, and ultrasound. Metastases of renal clear cell carcinoma were diagnosed based on a histopathological examination and the results of imaging studies. Due to the extent of the tumour, diagnostics were extended to magnetic resonance imaging. The patient was qualified for tracheotomy, cytoreductive surgery, and chemoradiation. The patient was referred for further treatment at the Centre of Oncology in Bydgoszcz.

No MeSH data available.


Related in: MedlinePlus