Unusual Metastasis in Renal Cell Carcinoma.
10.4111/kju.2007.48.5.548
- Author:
Jae Jin KWAK
1
;
Seong Ho CHO
;
Ju Hyung SEO
;
Soo IL KIM
;
Won Yeol CHO
Author Information
1. Department of Urology, College of Medicine, Dong-A University, Busan, Korea. urobone@korea.com
- Publication Type:Case Report
- Keywords:
Renal cell carcinoma;
Metastasis;
Spleen;
Rectum
- MeSH:
Carcinoma, Renal Cell*;
Colostomy;
Diagnosis;
Humans;
Liver;
Lung;
Magnetic Resonance Imaging;
Middle Aged;
Neoplasm Metastasis*;
Nephrectomy;
Prostate;
Rectum;
Spleen;
Splenectomy;
Ultrasonography
- From:Korean Journal of Urology
2007;48(5):548-551
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Approximately one-third of all patients with renal cell carcinoma have metastasis at the time of diagnosis. Metastatic lesions of renal cell carcinoma are most commonly seen in the lung, and they are frequently seen in the bone and liver. However, spleen and rectal metastases are extremely rare. A 63-year-old man had undergone left radical nephrectomy for renal cell carcinoma. About 22 months later, computed tomography revealed multiple enhanced masses in the spleen. Spleen metastasis was suspected and splenectomy was then performed. One year later, the patient visited with complaints of voiding difficulty. A huge pelvic mass was detected by performing prostate ultrasonography and MRI. The mass was 13cm in diameter and it was between the rectum and the prostate. Removal of the pelvic mass and lower anterior resection with end colostomy was done. Histologically, the resected specimens were diagnosed as metastases from the renal cell cancer. Herein, we report on a case of metachronous splenic and rectal metastasis from renal cell carcinoma.
