Medicina Fluminensis, Vol. 54 No. 2, 2018.
Other
https://doi.org/10.21860/medflum2018_198213
Case report of a patient with a rare location of renal cell carcinoma metastasis
Damir Grebić
; Department of General and Oncological Surgery, Rijeka Clinical Hospital Center, Faculty of Medicine, Rijeka
Ana Marija Tomasić
; Institute of Emergency Medicine, Umag
Daniel Victor Šimac
; Department of Hematology, Rheumatology and Clinical Immunology, Rijeka Clinical Hospital Center, Faculty of Medicine, University of Rijeka, Rijeka
Zlatko Kolić
; Medico Specialty Hospital, Rijeka
Ana Gavranić
; Department of Neurosurgery, Rijeka Clinical Hospital Center, Faculty of Medicine, University of Rijeka, Rijeka
David Bonifačić
; Department of Neurology, Rijeka Clinical Hospital Center, Faculty of Medicine, University of Rijeka, Rijeka
Abstract
Aim: Renal cell carcinoma is one of the deadliest cancers, takes third place among malignant carcinomas of the genitourinary tract. This case report describes the rare case of a large fast-growing metastasis of renal cell cancer in an unusual location with short time of its appearance, but with unexpected clinical course after its treatment.
Case report: A 60-year-old female patient presented with a fist-sized formation on the scalp. During physical examination, the mass was determined to be firm, infiltrative, fixed, and painless upon palpation. The formation had appeared a month prior to arrival, characterized by fast growth. The patient underwent a radical nephrectomy six months earlier due to RCC. A cranial radiogram showed osteolysis of the neurocranium, while an MRI of the brain confirmed the mass belonged to the scalp, no brain infiltration, measuring 82 x 60 x 74 mm. Fine needle aspiration isolated malignant cells of an adenocarcinoma, origin undetermined. The patient underwent surgery to remove the mass along with the effected neurocranium, and the resulting bone defect was reconstructed using Palacos. Postoperative recovery went well, and the pathohistological analysis confirmed renal cancer metastasis. PET-CT didn’t show suspicious lesions for distal metastasis for a period of 2 years.
Conclusion: Renal cell carcinoma commonly metastasizes to the lung. This case report presents the rare case of a large fast-growing renal cancer metastasis to an unusual location, with short time for metastasis appearance. In spite of that we have showed two years follow up of remission.
Keywords
neoplasm metastasis; osteolysis; renal cancer
Hrčak ID:
198213
URI
Publication date:
1.6.2018.
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