Renal cell carcinoma presenting as a cervical mass



Document title: Renal cell carcinoma presenting as a cervical mass
Journal: International braz j urol
Database: PERIÓDICA
System number: 000296793
ISSN: 1677-5538
Authors: 1

Institutions: 1Universidade de Sao Paulo, Escola de Medicina, Sao Paulo. Brasil
Year:
Season: Mar-Abr
Volumen: 31
Number: 2
Pages: 151-152
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico, descriptivo
English abstract The authors report a case of a 60-year-old woman presenting with a renal cell carcinoma in which the first sign leading to its diagnosis was a cervical metastasis, an uncommon site of distant disease in renal neoplasms. The patient had an 18-month history of a progressively enlarging cervical mass at the anterior aspect of the neck. After laboratory and radiological evaluation, the cervical mass was excised, and the microscopic and immunohistochemical patterns suggested the possibility of a metastatic renal cell carcinoma. Computerized tomography of the abdomen showed a solid, 4 cm left renal mass. A radical left nephrectomy was performed, and the histology confirmed the suspected diagnosis. The patient received immunotherapy, and in a follow-up period of 9 months, there was no evidence of recurrent disease. It seems that head and neck metastasis of renal cell carcinoma should preferentially be treated with surgical excision because of the associated morbidity and quality-of-life issues
Disciplines: Medicina
Keyword: Cirugía,
Nefrología,
Oncología,
Neoplasias,
Riñones,
Células renales,
Carcinoma,
Metástasis,
Cabeza,
Cuello
Keyword: Medicine,
Nephrology,
Oncology,
Surgery,
Neoplasms,
Kidneys,
Renal cells,
Carcinoma,
Metastasis,
Head,
Neck
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