Thoracic nodal metastases in renal cancer

Case contributed by Dr Roberto Schubert

Presentation

Left nephrectomy performed 9 months ago for renal cell carcinoma (clear-cell type).

Patient Data

Gender: Male

On pre-aortic lesion between the left mainstem bronchus and the left lower pulmonary vein, another pre-oesophageal lesion above the diaphragm. Probably some more small lesions above the left PA. They show intense enhancement, which is typical for the highly-vascularised metastases of clear-cell RCC. There is also a small pulmonary metastasis in the 1st segment of the left lung. 

Case Discussion

These nodal metastases have probably spread via the thoracic duct. They are classified as distant metastases (M1).

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Case information

rID: 18829
Case created: 23rd Jul 2012
Last edited: 5th Nov 2015
Systems: Urogenital, Chest
Inclusion in quiz mode: Included

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