Renal cell carcinoma metastases

Case contributed by Dr Bruno Di Muzio

Presentation

Patients with a history of left nephrectomy for renal cell carcinoma two years ago. New tomography for staging.

Patient Data

Age: 64
Gender: Female

CT abdomen (non-contrast)

Modality: CT
Patients with impaired renal function, study without the use of CT contrast.

CT abdomen - 6 months later

Modality: CT

Patients with impaired renal function, study without the use of CT contrast.

Case Discussion

Renal cell carcinomas are known for their unpredictable metastatic pattern. According to the study of Lam et al., eventually, up to 28% of patients with clinically localized disease develop distant metastatic disease within 5 years. Diagnosis of metastases precedes RCC diagnosis in only 5% of cases 1.

The most frequent localizations of metastases, in order of frequency, are the lungs, bones, liver, lymph nodes, adrenals, and brain. However, RCC metastases have been described in virtually every organ of the human body 1.

Kidney cancer is one of the most deadly urological tumors. The 5-year relative survival rate for all stages is approximately 70% 1.  

This case was not histologically confirmed.

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Case Information

rID: 18344
Case created: 1st Jul 2012
Last edited: 8th Sep 2015
System: Urogenital
Inclusion in quiz mode: Included

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