Thoracic nodal metastases in renal cancer

Case contributed by Dr Roberto Schubert


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-esophageal lesion above the diaphragm. Probably some more small lesions above the left PA. They show intense enhancement, which is typical for the highly-vascularized 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).

PlayAdd to Share

Case information

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

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.