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Suyama T, Yokoyama M, Takahashi K, Matsuki Y, Katagiri K. Ultrasonography and dermoscopy may have high predictive value for skin metastasis of renal cell carcinoma. J Med Ultrason (2001) 2024:10.1007/s10396-024-01477-1. [PMID: 39008158 DOI: 10.1007/s10396-024-01477-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2024] [Accepted: 05/29/2024] [Indexed: 07/16/2024]
Affiliation(s)
- Takayuki Suyama
- Department of Dermatology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya, Saitama, 343-8555, Japan.
| | - Megumi Yokoyama
- Department of Dermatology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya, Saitama, 343-8555, Japan
| | - Kanna Takahashi
- Department of Dermatology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya, Saitama, 343-8555, Japan
| | - Yasunori Matsuki
- Department of Dermatology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya, Saitama, 343-8555, Japan
| | - Kazumoto Katagiri
- Department of Dermatology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya, Saitama, 343-8555, Japan
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Balaban M, Dogruyol SV, Idilman IS, Unal O, Ipek A. Renal Cell Carcinoma Metastasis to Ipsilateral Parotid and Submandibular Glands: Report of a Case with Sonoelastographic Findings. Pol J Radiol 2016; 81:17-20. [PMID: 26834866 PMCID: PMC4721875 DOI: 10.12659/pjr.895430] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Accepted: 08/22/2015] [Indexed: 11/17/2022] Open
Abstract
Background Renal cell carcinoma (RCC) – also known as hypernephroma or grawitz tumor – accounts for 3% of the adulthood malignancies. Approximately 30–40% of the patients have metastasis at the time of the diagnosis and most common sites for metastasis are lung, regional lymph nodes, bone and liver. A total of 8–14% of the patients with RCC has head and neck metastasis. However, metastasis to major salivary glands is rarely seen. In this paper, we aimed to report a RCC case with metastasis to parotid and submandibular glands that has the same sonographic and sonoelastographic findings with the primary tumor. Case Report 66-year old woman with RCC history was referred to our radiology department for neck ultrasound (US) with painful swelling in the right parotid gland region. A well-defined, 37×21 mm sized hypoechoic heterogeneous solid mass was detected in the superficial-deep lobe of the right parotid gland. The mass was prominently hypervascular in color Doppler ultrasonography scan. Coincidentally, a 13×13 mm hypoechoic lobulated solid mass was detected in the right submandibular gland with similar sonographic findings. Real-time sonoelastography (SEL) was performed to the masses and both of them were blue-green colored that indicates hard tissue. An US and SEL evaluation was also performed to the renal mass (RCC) of the patient. The primary mass was also similar in sonographic and SEL appearance as salivary gland masses. In the patient history, she revealed chemotherapy-radiotherapy treatment 1.5 years ago due to inoperable mass in the mid-lower pole of the left kidney diagnosed as clear cell RCC with vascular invasion, liver, lung and brain metastasis. Because of known primary tumor, the masses in the salivary glands were suspected to be metastatic and a tru-cut biopsy was performed. Pathological result was reported as clear cell RCC metastasis. Conclusions The etiology of RCC is still unknown and metastatic involvement can be seen at unexpected tissue and organs. Metastatic disease should be considered when a salivary gland mass detected in patients with RCC history. SEL examination would be helpful in differentiation of the origin of the metastatic lesion with known SEL features.
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Affiliation(s)
- Mehtap Balaban
- Department of Radiology, Ankara Atatürk Education and Research Hospital, Ankara, Turkey
| | | | - Ilkay S Idilman
- Department of Radiology, Ankara Atatürk Education and Research Hospital, Ankara, Turkey
| | - Ozlem Unal
- Department of Radiology, Ankara Atatürk Education and Research Hospital, Ankara, Turkey
| | - Ali Ipek
- Department of Radiology, Ankara Atatürk Education and Research Hospital, Ankara, Turkey
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Chauhan S, Yadav SS, Tomar V. Renal cell carcinoma presenting as Dysphagia. Indian J Surg 2015; 77:153-5. [PMID: 25972679 DOI: 10.1007/s12262-015-1216-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Accepted: 01/05/2015] [Indexed: 11/29/2022] Open
Abstract
Renal cell carcinoma presenting with dysphagia is rare. We report a case who presented with dysphagia as the only manifestations of renal malignancy. Biopsy from the pyriform fossa nodules revealed a clear cell neoplasm. Immuno-histochemical analysis of tissue confirmed metastasis of renal cell carcinoma.
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Affiliation(s)
- Sharad Chauhan
- SMS Medical College and Hospital, JLN Marg, Ashok nagar, Jaipur, 302004 India ; 304 Park exotica Apartments C-Scheme, Jaipur, India
| | - Sher Singh Yadav
- SMS Medical College and Hospital, JLN Marg, Ashok nagar, Jaipur, 302004 India
| | - Vinay Tomar
- SMS Medical College and Hospital, JLN Marg, Ashok nagar, Jaipur, 302004 India
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Renal cell carcinoma metastases to the pancreas and the thyroid gland 19 years after the primary tumour. GASTROENTEROLOGY REVIEW 2015; 10:185-9. [PMID: 26516387 PMCID: PMC4607689 DOI: 10.5114/pg.2015.49000] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2014] [Revised: 09/12/2014] [Accepted: 10/28/2014] [Indexed: 11/17/2022]
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Kolokythas A, Weiskopf S, Singh M, Cabay RJ. Renal Cell Carcinoma: Delayed Metachronous Metastases to Parotid and Cerebellum. J Oral Maxillofac Surg 2015; 73:1296-303. [PMID: 25925095 DOI: 10.1016/j.joms.2015.01.017] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2014] [Revised: 01/19/2015] [Accepted: 01/20/2015] [Indexed: 11/29/2022]
Abstract
PURPOSE The purpose of this report is to describe a rare case of delayed metachronous isolated metastases of renal cell carcinoma (RCC) to the parotid gland and the cerebellum. The metastases occurred more than a decade after treatment of the primary tumor without any other systemic involvement. In addition, the potential differential diagnosis of the parotid mass based on presentation and imaging is discussed. MATERIALS AND METHODS An 83-year-old man presented for evaluation and treatment of a rapidly growing mass at the right parotid region. He had a history of RCC resection 10 years before this presentation and had no evidence of persistent disease at the primary site. The diagnosis of metastatic RCC was made after fine-needle aspiration biopsy examination of the mass. The patient underwent superficial parotidectomy for resection of the tumor. Approximately 1.5 years later, he complained of loss of balance. Further investigation disclosed a cerebellar mass that at biopsy examination was found to represent RCC. He underwent stereotactic ablation of the mass. He currently remains free of disease at the primary site and the parotid and without further known brain metastases. RESULTS This report presents the 29th case of a solitary parotid mass consistent with metastatic RCC 10 years after successful treatment of the primary RCC. Approximately 1.5 years later, the patient presented with new-onset loss of balance. Further investigation disclosed a mass to the cerebellum consistent with metastatic RCC. This case is unique because the brain involvement occurred extremely late, 11.5 years after successful treatment of primary RCC and 1.5 years after resection of a metastatic RCC to the parotid, and without any evidence of other metastases. CONCLUSIONS Late distant metastases of RCC are not uncommon and patients require life surveillance follow-up, but such late presentation of metachronous metastases without systemic disease progression is unique. The patterns of metastases of RCC are not clearly defined and this diagnosis should be considered, especially in patients with relevant history.
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Affiliation(s)
- Antonia Kolokythas
- Associate Professor, Program Director, Director of Research, Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago, Chicago, IL.
| | - Scott Weiskopf
- Former Chief Resident, Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago, Chicago, IL
| | - Manmeet Singh
- Surgical Pathology Fellow, Department of Pathology, Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago, Chicago, IL
| | - Robert J Cabay
- Assistant Professor of Clinical Pathology, Department of Pathology, Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago, Chicago, IL
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Udager AM, Rungta SA. Metastatic renal cell carcinoma, clear cell type, of the parotid gland: a case report, review of literature, and proposed algorithmic approach to salivary gland clear cell neoplasms in fine-needle aspiration biopsies. Diagn Cytopathol 2014; 42:974-83. [PMID: 24535952 DOI: 10.1002/dc.23103] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2013] [Revised: 11/26/2013] [Accepted: 01/09/2014] [Indexed: 11/07/2022]
Abstract
Renal cell carcinoma (RCC), clear cell type, is a commonly encountered metastatic tumor that can present at unusual anatomic sites many years after the primary tumor resection. Noncutaneous metastasis to the parotid gland is unusual; however, a number of cases of parotid RCC metastasis have been reported. Fine-needle aspiration biopsy (FNAB) is regularly utilized during the evaluation of salivary gland lesions, where it has a high sensitivity, specificity, and accuracy; however, the identification and definitive diagnosis of primary and metastatic clear cell neoplasms is a potential diagnostic pitfall for salivary gland FNAB. Here, we describe a case of RCC, clear cell type, metastatic to the parotid gland that was diagnosed entirely from FNAB cell block material, which is the first such reported case to our knowledge. We review the literature for cases of parotid RCC metastasis and focus on the utility of FNAB for synchronous versus metachronous presentations. Finally, we evaluate the differential diagnosis of clear cell parotid lesions, including ancillary histologic studies, and propose an algorithmic approach to clear cell neoplasms of the salivary gland.
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Affiliation(s)
- Aaron M Udager
- Department of Pathology, University of Michigan Health System, Ann Arbor, Michigan
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Demir L, Erten C, Somali I, Can A, Dirican A, Bayoglu V, Kucukzeybek Y, Altinboga AA, Ermete M, Oztop RM, Tarhan MO. Metastases of renal cell carcinoma to the larynx and thyroid: Two case reports on metastasis developing years after nephrectomy. Can Urol Assoc J 2012; 6:E209-12. [PMID: 23093648 DOI: 10.5489/cuaj.11255] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Renal cell carcinoma (RCC) has a high metastatic potential due to its hematogen and vascular features. It metastasizes frequently to the lungs, the bones, the liver, the lymph nodes and the brain. Metastasis of RCC to the head and neck region is quite rare. In this case report, two RCC patients with head and neck metastases are presented: one occurring after 5 years and the other occurring 17 years after diagnosis.
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Affiliation(s)
- Lutfiye Demir
- Izmir Ataturk Training and Research Hospital, Department of Medical Oncology, Izmir, Turkey
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Serouya SM, Dultz LA, Concors SJ, Wang B, Patel KN. Late solitary metastasis of renal cell carcinoma to the submandibular gland. J Oral Maxillofac Surg 2012; 70:2356-9. [PMID: 22265168 DOI: 10.1016/j.joms.2011.10.030] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2011] [Revised: 10/27/2011] [Accepted: 10/28/2011] [Indexed: 11/16/2022]
Abstract
Metastatic renal cell carcinoma to the head and neck is rare. Most reported cases of metastases to the head and neck involve the thyroid and parotid glands. Metastasis to other salivary glands is exceedingly rare. This report describes a case of a solitary metastasis of renal cell carcinoma to the submandibular gland 9 years after nephrectomy. To the authors' knowledge, this is the first case successfully diagnosed preoperatively using a combination of fine-needle aspiration and clinical history. The patient subsequently underwent a submandibular gland resection with preservation of the facial nerve branches. For the 3 years since resection of the submandibular gland, the patient has been free of disease.
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Affiliation(s)
- Sam M Serouya
- Department of Surgery, Division of Endocrine Surgery, NYU Langone Medical Center, New York, NY 10016, USA
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Shen ML, Kang J, Wen YL, Ying WM, Yi J, Hua CG, Tang XF, Wen YM. Metastatic tumors to the oral and maxillofacial region: a retrospective study of 19 cases in West China and review of the Chinese and English literature. J Oral Maxillofac Surg 2009; 67:718-37. [PMID: 19304027 DOI: 10.1016/j.joms.2008.06.032] [Citation(s) in RCA: 61] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2007] [Revised: 02/28/2008] [Accepted: 06/16/2008] [Indexed: 01/12/2023]
Abstract
PURPOSE The aim of this article was to obtain an overview of metastatic tumors to the oral and maxillofacial (OMF) region, especially the differences in the constituent ratios of primary cancers between the United States and China. PATIENTS AND METHODS Clinical findings of 19 cases encountered in West China Hospital of Stomatology were summarized and the English and Chinese literature were reviewed and analyzed. The main clinical features of OMF metastases were summarized, with an emphasis on primary cancers' constituents. RESULTS The lung, breast, kidney, liver, and prostate were the top 5 common primary sites of cancer. However, there was a significant difference in the primary cancers' constituents between United States and China (P < .001). The breast, kidney, prostate cancers, and melanoma of skin were more frequent primary cancers in United States than in China, whereas that of the lung, thyroid, liver, esophagus, and the stomach were more common in China than in United States. The proportions of the OMF metastatic lesions originating in the lung, kidney, liver, thyroid, and esophagus in all OMF metastatic tumors were higher than the corresponding primary cancers' prevalent proportions. CONCLUSIONS The frequency of developing OMF metastasis is not always consistent with primary cancers' prevalence, which suggests that different cancers have different potentiality to develop OMF metastasis. Cancers of the kidney, liver, lung, thyroid, and esophagus were more likely to spread to the OMF region. In general screening of primary cancer, it would be helpful to take into account the metastatic potentiality of different cancers and primary cancers' prevalence in different countries in the case of occult primary.
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Affiliation(s)
- Mo-Lun Shen
- Master of Medicine, Department of Head and Neck Oncology, West China College of Stomatology, Sichuan University, Chengdu, China
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Moudouni SM, Tligui M, Doublet JD, Haab F, Gattegno B, Thibault P. Late metastasis of renal cell carcinoma to the submaxillary gland 10 years after radical nephrectomy. Int J Urol 2006; 13:431-2. [PMID: 16734864 DOI: 10.1111/j.1442-2042.2006.01318.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Renal cell carcinoma metastasis to the submaxillary gland after tumor nephrectomy has not been previously recorded in the literature. Most reported cases have involved the parotid gland. We report in this article the first case of solitary submaxillary gland metastasis from clear cell renal cell carcinoma in an 83-year-old man who presented 10 years after primary treatment. The submaxillary gland was excised with preservation of the facial nerve.
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Affiliation(s)
- Said M Moudouni
- Department of Urologic Surgery, Tenon Hospital, Paris, France.
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Göğüş C, Kiliç O, Tulunay O, Tulunay O, Bedük Y. Solitary metastasis of renal cell carcinoma to the parotid gland 10 years after radical nephrectomy. Int J Urol 2005; 11:894-6. [PMID: 15479296 DOI: 10.1111/j.1442-2042.2004.00902.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Renal cell carcinoma metastasis to the parotid gland after tumor nephrectomy is extremely rare. We report a case of solitary parotid metastasis from clear cell renal cell carcinoma in a 59-year-old woman, who presented 10 years after primary treatment. To our knowledge this is the first case in the published literature presenting with solitary parotid metastasis after such a long time. Superficial parotidectomy with preservation of the facial nerve was performed. One year after, the patient developed contralateral multiple kidney tumors and underwent left radical nephrectomy. She is currently on a dialysis program and no additional metastasis has been observed for 18 months.
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Affiliation(s)
- Cağatay Göğüş
- Department of Urology, Ankara University, School of Medicine, Ankara, Turkey.
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Abstract
OBJECTIVE To discuss the diagnosis and management of metastatic renal cell carcinoma presenting as a parotid mass by studying such cases. STUDY DESIGN Retrospective review. METHODS Identification of 24 previously reported cases of renal cell carcinoma metastatic to the parotid gland in the English language literature and an analysis of a total of 25 patients including our case. RESULTS Parotid metastasis was the initial presenting sign of the malignancy in the kidney in 14 of 25 (56%) cases; 11 of 25 (44%) cases presented with metachronous metastasis to the parotid. The most common presenting complaint was parotid mass. No case presented with facial paralysis. In three of six (50%) patients, fine-needle aspiration biopsy was diagnostic. CONCLUSIONS In the majority of cases, parotid metastases are the first clinical sign of the renal cell carcinoma. Fine-needle aspiration biopsy can provide crucial information without parotidectomy as in our case. Parotidectomy with facial nerve preservation should be considered as a therapeutic option for solitary parotid metastasis.
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Affiliation(s)
- Youn W Park
- Department of Otolaryngology, Northeastern Ohio Universities College of Medicine, Summa Health System, Akron, USA.
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Li L, Friedrich RE, Schmelzle R, Donath K. Metachronous bilateral metastases of renal cell carcinoma to the parotid region. J Oral Maxillofac Surg 2001; 59:434-8. [PMID: 11289175 DOI: 10.1053/joms.2001.21894] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- L Li
- Department of Oral and Maxillofacial Surgery, Eppendorf University Hospital, University of Hamburg, Germany.
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Abstract
Although infrequent, salivary gland tumors with a dominant population of clear staining cells present problems in differential diagnosis. Mucoepidermoid carcinoma, acinic cell adenocarcinoma, "clear cell" oncocytoma, epithelial-myoepithelial carcinoma, clear cell adenocarcinoma, and metastatic renal cell carcinoma are considered in the differential diagnosis. This review focuses on this heterogenous group of clear cell neoplasms and attempts to clarify some of the features that help distinguish one neoplasm from another.
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Affiliation(s)
- G L Ellis
- Department of Oral and Maxillofacial Pathology, Armed Forces Institute of Pathology, Washington, DC, USA
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