Esophageal Cancer Metastasis to the Kidney.
- Author:
Hoon HUH
1
;
Wook KIM
Author Information
1. Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. kimwook@hfh.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Kidney tumor;
Esophageal cancer;
Metastasis
- MeSH:
Carcinoma, Squamous Cell;
Carcinoma, Transitional Cell;
Chemotherapy, Adjuvant;
Esophageal Neoplasms*;
Esophagectomy;
Fluorouracil;
Follow-Up Studies;
Humans;
Kidney*;
Lymph Node Excision;
Lymph Nodes;
Middle Aged;
Neoplasm Metastasis*;
Nephrectomy;
Recurrence;
Renal Veins;
Tomography, X-Ray Computed;
Urography;
Weight Loss
- From:Journal of the Korean Surgical Society
2003;64(1):80-83
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of 54-year-old man who presented with a right renal tumor secondary to an esophageal cancer, which was detected during a periodic follow-up computerized tomographic examination. In December 2000, the patient underwent a transhiatal esophagectomy with a cervical esophagogastrostomy and a histological examination showed an infiltrative squamous carcinoma (T3N1M0, stage III). The patient was treated with 6 cycles of adjuvant chemotherapy with 5-FU (500 mg/m2) and cisplatinum (40 mg/m2). Subsequently, a follow-up study revealed no evidence of recurrence until December 2001. In June 2002, he attended a follow-up examination and complained of general weakness and a 3 kg weight loss over a month. CT scan detected a hypodense space occupying lesion in the inferior pole of the right kidney and enlarged aortocaval lymph nodes below the right renal vein. Intravenous pyelography showed a phantom calyx in the inferior pole after a contrast infusion. The cystoscopic examination was negative. He underwent a right nephrectomy and a periaortic lymph node dissection under the impression of a metachronous transitional cell carcinoma. However, a histological examination revealed that the tumor was a metastatic squamous carcinoma with lymph nodes involvement from the previous esophageal squamous carcinoma.
