SCC metastasis to the kidney

Case contributed by Dr Chris O'Donnell

Presentation

PH od SCC lung (treated with surgery). Now left loin pain

Patient Data

Age: 60 years old
Gender: Female
Modality: Ultrasound

Typical hypoechoic mass with peripheral blood flow ? atypical cyst or unusual solid lesion

CT could not be performed as patient has had anaphylactic reaction to iodinated radiographic contrast. 

MRI

Modality: MRI

Typical peripherally enhancing solid mass as seen in renal cell carcinoma

PET scan performed some 12 months previously

Modality: Nuclear medicine

Hot spot at right hilum at the site of primary malignancy on PET/CT. Left kidney is normal.

Modality: CT

CT guided biopsy

Case Discussion

Mass lesion in left kidney looks like a renal cell carcinoma but the PET scan was normal some 12 months previously so it has grown very quickly thus biopsy was performed and showed a metastatic lesion from lung.
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Case Information

rID: 20292
Case created: 10th Nov 2012
Last edited: 8th Feb 2016
System: Urogenital
Inclusion in quiz mode: Included

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