Implantation metastasis

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Staging CT (details not given). Surgically removed primary 2 years ago. Right subcostal incision.

Patient Data

Age: 65 years
Gender: Male
ct

Post operative changes in right renal fossa including stable soft tissue thickening posteriorly (arrow). New soft tissue nodule in right anterior abdominal wall (arrow) at the site of subcostal incision.

ultrasound

Ultrasound guided biopsy. 

Case Discussion

Known case of renal cell carcinoma, nephrectomy 2 years ago. 

Renal cell carcinoma on biopsy (metastatic clear cell carcinoma). 

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