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Saeed F, Osunkoya AO. Secondary Tumors of the Kidney: A Comprehensive Clinicopathologic Analysis. Adv Anat Pathol 2022; 29:241-251. [PMID: 35249993 DOI: 10.1097/pap.0000000000000338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Metastases to the kidney are rare and were historically described in autopsy series, and the incidence ranged between 2.36% and 12.6%. However, in the contemporary literature with the improvements in imaging modalities (computed tomography scan and magnetic resonance imaging) and other health care screening services, metastatic tumors to the kidney are being diagnosed more frequently in surgical specimens. The utility of needle core biopsies in the primary evaluation of renal masses has also increased the number of sampled metastases, and as a result, only limited histologic material is available for evaluation in some cases and may potentially lead to diagnostic pitfalls. In the last decade, a few large clinical series have been published. In these series, the majority of metastatic tumors to the kidney are carcinomas, with the lung being the most common primary site. A significant number of the various tumor types with metastasis to the kidney are also associated with widespread metastases to other organs, and the renal metastasis may present several years after diagnosis of the primary tumor. The majority of secondary tumors of the kidney are asymptomatic, incidentally discovered, and solitary. There should be a high index of suspicion of metastasis to the kidney in patients with an associated enlarging renal lesion with minimal to no enhancement on imaging and tumor progression of a known high-grade nonrenal malignancy. Secondary tumors of the kidney can be accurately diagnosed by correlating histopathologic features with clinical and radiographic findings and the judicious use of ancillary studies.
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Affiliation(s)
| | - Adeboye O Osunkoya
- Departments of Pathology
- Urology, Emory University School of Medicine
- Winship Cancer Institute of Emory University, Atlanta
- Department of Pathology, Veterans Affairs Medical Center, Decatur, GA
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Cazacu SM, SĂndulescu LD, Mitroi G, Neagoe DC, Streba C, Albulescu DM. Metastases to the Kidney: A Case Report and Review of the Literature. CURRENT HEALTH SCIENCES JOURNAL 2020; 46:80-89. [PMID: 32637169 PMCID: PMC7323720 DOI: 10.12865/chsj.46.01.11] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Accepted: 01/19/2020] [Indexed: 12/16/2022]
Abstract
Renal metastases are uncommon in clinical practice, even as autopsy reports much frequent cases în disseminated tumors. Usually multiple and bilateral, they can determine many problems of differential diagnosis in case of solitary renal mass, when a primary kidney neoplasm must be excluded. Main sources are represented by the tumors of the lung, breast, digestive tract, melanomas and lymphomas, but rare cases with other etiology have been reported. Imaging can help to the diagnosis; CT scan, MRI, transabdominal ultrasound and sometimes contrast enhanced ultrasound can be useful. The treatment is individualized by the general status, by other organs involved and by the control of primary tumors; nephrectomy can be made in cases with unsure diagnosis and if primary tumor is controlled.
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Affiliation(s)
- Sergiu Marian Cazacu
- 3 Department, Internal Medicine 5 Year, University of Medicine and Pharmacy of Craiova, Research Center of Gastroenterology and Hepatology of Craiova, Romania
| | - Larisa Daniela SĂndulescu
- 3 Department, Internal Medicine 5 Year, University of Medicine and Pharmacy of Craiova, Research Center of Gastroenterology and Hepatology of Craiova, Romania
| | - George Mitroi
- Surgery Department, University of Medicine and Pharmacy of Craiova, Romania
| | - Daniela Carmen Neagoe
- 3 Department, Internal Medicine 5 Year, University of Medicine and Pharmacy of Craiova, Research Center of Gastroenterology and Hepatology of Craiova, Romania
| | - Costin Streba
- 3 Department, Pneumology discipline, University of Medicine and Pharmacy of Craiova, Romania
| | - Dana Maria Albulescu
- 2 Department, Imaging discipline, University of Medicine and Pharmacy of Craiova, Romania
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Degn S, Davidsen JR, Graumann O. Cryoablation: a potential treatment option for renal metastasis from lung cancer? BMJ Case Rep 2018; 2018:bcr-2018-225841. [PMID: 30389734 DOI: 10.1136/bcr-2018-225841] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Cryoablation is successfully performed as a treatment for small renal cancers. The occurrence of a solitary renal metastasis from lung cancer is an uncommon finding entailing a limited knowledge on the choice of its optimal treatment. We present two patients diagnosed with non-small cell lung cancer, who were initially treated with curatively intended chemoradiotherapy. In the follow-up period, a non-symptomatic solitary renal metastasis was found in both patients. Both received CT-guided cryoablation of their renal metastases. One patient was successfully treated with no relapse, whereas the other patient received re-cryoablation due to development of a new renal metastasis. In both patients, no residual tumour was found at the 3 months' follow-up examination. Whether the minimally invasive procedure of cryoablation is a feasible treatment in the management of solitary renal metastases from lung cancer is still undetermined. The recurrence and incomplete treatment are concerns requiring further research.
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Affiliation(s)
- Stine Degn
- Radiology Department, Odense University Hospital, Odense, Denmark
| | | | - Ole Graumann
- Research Unit at the Department of Radiology, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
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Srisung W, Mankongpaisarnrung C, Warraich I, Sotello D, Yarbrough S, Laski M. Carcinoma of the lungs causing enlarged kidneys. Proc (Bayl Univ Med Cent) 2015; 28:221-3. [PMID: 25829660 DOI: 10.1080/08998280.2015.11929235] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Bilateral enlarged kidneys can be caused by a number of conditions. Renal metastasis is included in the differential diagnosis. We report a case of a 67-year-old woman with a 6-month history of productive cough and unintentional weight loss. Cavitary pulmonary lesions and bilateral enlarged kidneys were noted on imaging studies. Hematuria, azotemia, and proteinuria were present. Renal biopsy showed squamous carcinoma cells invading normal-appearing glomeruli and atrophic tubules. The invasive squamous cells stained negative for CK7 and CK 20. Lung biopsy confirmed squamous cell carcinoma. Our case shows that in patients with renal enlargement, even with the absence of a focal mass, renal metastasis should be considered, especially in those with suspected or diagnosed malignancy elsewhere.
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Affiliation(s)
- Weeraporn Srisung
- Departments of Internal Medicine (Srisung, Mankongpaisarnrung, Sotello, Yarbrough, Laski) and Pathology (Warraich), Texas Tech University Health Sciences Center, Lubbock, Texas
| | - Charoen Mankongpaisarnrung
- Departments of Internal Medicine (Srisung, Mankongpaisarnrung, Sotello, Yarbrough, Laski) and Pathology (Warraich), Texas Tech University Health Sciences Center, Lubbock, Texas
| | - Irfan Warraich
- Departments of Internal Medicine (Srisung, Mankongpaisarnrung, Sotello, Yarbrough, Laski) and Pathology (Warraich), Texas Tech University Health Sciences Center, Lubbock, Texas
| | - David Sotello
- Departments of Internal Medicine (Srisung, Mankongpaisarnrung, Sotello, Yarbrough, Laski) and Pathology (Warraich), Texas Tech University Health Sciences Center, Lubbock, Texas
| | - Shannon Yarbrough
- Departments of Internal Medicine (Srisung, Mankongpaisarnrung, Sotello, Yarbrough, Laski) and Pathology (Warraich), Texas Tech University Health Sciences Center, Lubbock, Texas
| | - Melvin Laski
- Departments of Internal Medicine (Srisung, Mankongpaisarnrung, Sotello, Yarbrough, Laski) and Pathology (Warraich), Texas Tech University Health Sciences Center, Lubbock, Texas
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Metastatectomy for extra-cranial extra-adrenal non-small cell lung cancer solitary metastases: systematic review and analysis of reported cases. Lung Cancer 2011; 75:9-14. [PMID: 21864934 DOI: 10.1016/j.lungcan.2011.07.014] [Citation(s) in RCA: 63] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2011] [Revised: 07/11/2011] [Accepted: 07/19/2011] [Indexed: 11/20/2022]
Abstract
BACKGROUND Although patients with stage IV non-small cell lung cancer (NSCLC) have a poor prognosis, a subset of patients with solitary brain or adrenal metastasis have more favorable outcome following surgical resection. Nevertheless, the outcome and predictive factors for survival following metastatectomy for patients with other metastatic sites are not well defined. METHODS We performed a systematic review using PUBMED database for all articles which included patients with NSCLC and solitary metastasis to sites other than the adrenal gland or the brain who had undergone resection of their metastasis and definitive treatment of the primary lung cancer. Potential prognostic factors on survival including age, sex, histology, T and N stage of the primary tumor, synchronous vs. metachronous presentation, visceral vs. non-visceral metastasis and the use of perioperative chemotherapy were analyzed using multi-variable Cox proportional hazard model. RESULTS 62 cases were eligible for the analysis. The 5-year survival rate was 50% for the entire cohort. Mediastinal lymph node involvement was independently predictive of inferior outcome; 5-year survival rate 0% vs. 64% in favor of no involvement, p<0.001. Similarly, patients with intra-thoracic stage III disease had an inferior outcome compared to patients with stage II and stage I disease: 5-year survival rate 0% vs. 77% and 63%, respectively, p<0.001. Other factors have no effect on outcome. CONCLUSION Selected patients with distant metastatic NSCLC can achieve long term survival following metastatectomy and definitive treatment of the primary tumor. Mediastinal lymph node involvement is associated with poor prognosis.
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Song SH, Jun YJ, Paik SS, Kwak HJ, Kim SH, Kim TH, Sohn JW, Shin DH, Park SS, Yoon HJ. Asymptomatic Solitary Renal Metastasis Detected during Surveillance after Curative Surgery for Squamous Cell Carcinoma of Lung. Tuberc Respir Dis (Seoul) 2011. [DOI: 10.4046/trd.2011.71.6.445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Sung Heon Song
- Division of Pulmonology, Cheju Halla General Hospital, Jeju, Korea
| | - Young Jin Jun
- Department of Pathology, Hanyang University College of Medicine, Seoul, Korea
| | - Seung Sam Paik
- Department of Pathology, Hanyang University College of Medicine, Seoul, Korea
| | - Hyun Jung Kwak
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Sang-Heon Kim
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Tae Hyung Kim
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Jang Won Sohn
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Dong Ho Shin
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Sung Soo Park
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Ho Joo Yoon
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
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Lim JE, Kim EY, Jang JE, Son JY, Jung JY, Park BH, Lee KJ, Yoon YW, Byun MK, Lee SR, Kang YA, Moon JW, Park MS, Kim YS, Jang J, Park YN, Kim SK. A Case of Squamous Cell Carcinomatous Lung Abscess with Multiple Metastatic Abscesses. Tuberc Respir Dis (Seoul) 2009. [DOI: 10.4046/trd.2009.66.5.390] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Ju Eun Lim
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Eun Young Kim
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Ji Eun Jang
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Ji-Young Son
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Ji Ye Jung
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Byung Hoon Park
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Kyung Jong Lee
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Yoe Wun Yoon
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Min Kwang Byun
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Sa Rah Lee
- Department of Pathology, Yonsei University College of Medicine, Seoul, Korea
| | - Young Ae Kang
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
- The Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea
| | - Jin Wook Moon
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
- The Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea
| | - Moo Suk Park
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
- The Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea
| | - Young Sam Kim
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
- The Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea
| | - Joon Jang
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
- The Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea
| | - Young Nyun Park
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
- Department of Pathology, Yonsei University College of Medicine, Seoul, Korea
| | - Se Kyu Kim
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
- The Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea
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