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
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

MRI

Typical peripherally enhancing solid mass as seen in renal cell carcinoma

Nuclear medicine

PET scan performed some 12 months previously

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

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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