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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

Magnetic resonance imaging performed on 03.12.2012 – transverse projection
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Figure 0007: Magnetic resonance imaging performed on 03.12.2012 – transverse projection

Mentions: The MRI findings revealed a pathological mass covering the tongue and its base; on the right side, it exceeded the midline, had a rough outline, and infiltrated the muscular floor of the mouth. Anteriorly, the mass invaded the lower jaw. Part of it, measuring 26 × 27 × 31 mm, pressed into the interdental space and led to the front of the lower jaw. Posteriorly, the mass covered the entire lumen of the throat adhering to the rear wall, taking up the pre-epiglottic space and infiltrating the right parotid and submandibular gland. In addition, on the border of the left hemisphere of the cerebellum and the vermis, there was a sharply restricted isointense focus enhanced by the contrast, of size 14 × 11 × 14 mm, which was probably metastatic (Figs. 7, 8).


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)

Magnetic resonance imaging performed on 03.12.2012 – transverse projection
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0007: Magnetic resonance imaging performed on 03.12.2012 – transverse projection
Mentions: The MRI findings revealed a pathological mass covering the tongue and its base; on the right side, it exceeded the midline, had a rough outline, and infiltrated the muscular floor of the mouth. Anteriorly, the mass invaded the lower jaw. Part of it, measuring 26 × 27 × 31 mm, pressed into the interdental space and led to the front of the lower jaw. Posteriorly, the mass covered the entire lumen of the throat adhering to the rear wall, taking up the pre-epiglottic space and infiltrating the right parotid and submandibular gland. In addition, on the border of the left hemisphere of the cerebellum and the vermis, there was a sharply restricted isointense focus enhanced by the contrast, of size 14 × 11 × 14 mm, which was probably metastatic (Figs. 7, 8).

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