Late Presentation of Metastatic Renal Cell Carcinoma as a Bleeding Duodenal Mass.
- Author:
Jae Won SEO
1
;
Eun Mi KANG
;
Sung Hoon KIM
;
Ji Sun JANG
;
Jei So BANG
;
Su Hyun YANG
;
Yang Soon PARK
Author Information
1. Department of Internal Medicine, Seoul Veterans Hospital, Seoul, Korea. tkdance@medimail.com
- Publication Type:Case Report
- Keywords:
Carcinoma;
Renal cell;
Duodenum;
Neoplasm metastasis
- MeSH:
Carcinoma, Renal Cell;
Duodenum;
Hemorrhage;
Humans;
Melena;
Neoplasm Metastasis;
Nephrectomy;
Recurrence
- From:Korean Journal of Medicine
2013;84(2):245-248
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastrointestinal metastasis of a renal cell carcinoma is very rare, and the clinical course of the disease ranges from months to several decades. We experienced a case of solitary duodenal metastasis about 22 years after a right nephrectomy for clear-cell type renal cell carcinoma in a 77-year-old man who complained of melena. This case is the longest reported time interval between surgical nephrectomy to presentation with a duodenal metastasis. Patients usually present with recurrence within a year after radical nephrectomy but can present after many years, warranting lifelong surveillance.
