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Osama MA, Chatterjee P, Batra G, Nehra N, Ali S, Mohta A. Isolated intracholecystic metastasis of renal cell carcinoma: A report of a rare case. J Cancer Res Ther 2024; 20:457-459. [PMID: 38554363 DOI: 10.4103/jcrt.jcrt_1626_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Accepted: 09/15/2022] [Indexed: 01/28/2023]
Abstract
Renal cell carcinomas are known for their unforeseeable metastatic pattern. They are known to have high metastatic potential, thus commonly associated with synchronous or metachronous metastatic presentation. At the time of diagnosis, approximately one-third of patients present with metastatic disease. We present a case of synchronous metastasis of clear cell carcinoma to the gallbladder in a 54-year-old male within two months after radical nephrectomy.
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Affiliation(s)
- Md A Osama
- Department of Pathology, Lady Hardinge Medical College, New Delhi, India
| | - Priti Chatterjee
- Department of Pathology, Lady Hardinge Medical College, New Delhi, India
| | - Gunjan Batra
- Department of Pathology, Lady Hardinge Medical College, New Delhi, India
| | - Neema Nehra
- Department of Pathology, Lady Hardinge Medical College, New Delhi, India
| | - Shadan Ali
- Department of Surgery, Lady Hardinge Medical College, New Delhi, India
| | - Anup Mohta
- Department of Surgery, Lady Hardinge Medical College, New Delhi, India
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Baloğlu MC, Yahşi S, Erol Fenercioğlu Ö, Çermik TF, Ergül N. Gallbladder Metastasis From Renal Cell Carcinoma Revealed With 18 F-FDG PET/CT. Clin Nucl Med 2022; 47:e587-e588. [PMID: 35452011 DOI: 10.1097/rlu.0000000000004226] [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: 11/26/2022]
Abstract
ABSTRACT Gallbladder metastasis from renal cell carcinoma is a rare condition. To our knowledge, only 1 case has been reported with 18 F-FDG PET/CT findings. Herein, we report the case of a 53-year-old man with renal cell carcinoma, having gallbladder metastasis revealed with restaging 18 F-FDG PET/CT.
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Affiliation(s)
- Mehmet Can Baloğlu
- From the Clinic of Nuclear Medicine, University of Health Sciences, Istanbul Training and Research Hospital
| | - Seyfettin Yahşi
- Department of Pathology, University of Health Sciences, Haseki Training and Research Hospital, Istanbul, Turkey
| | - Özge Erol Fenercioğlu
- From the Clinic of Nuclear Medicine, University of Health Sciences, Istanbul Training and Research Hospital
| | - Tevfik Fikret Çermik
- From the Clinic of Nuclear Medicine, University of Health Sciences, Istanbul Training and Research Hospital
| | - Nurhan Ergül
- From the Clinic of Nuclear Medicine, University of Health Sciences, Istanbul Training and Research Hospital
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The Unusual Presentation of a Single Case of Synchronous Metastatic Clear Cell Renal Cell Carcinoma to the Gallbladder: A Case Report and Literature Review. CURRENT HEALTH SCIENCES JOURNAL 2021; 47:457-461. [PMID: 35003781 PMCID: PMC8679144 DOI: 10.12865/chsj.47.03.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Accepted: 09/27/2021] [Indexed: 11/18/2022]
Abstract
Clear cell renal cell carcinoma, accounts for approximately 70% of all adult renal tumors. This disease is well known for its high metastatic potential, with estimates of 25-50% of patients reporting metastasis to distant structures. However, there have only been several reported cases in medical literature describing hematogenous spread to the gallbladder, with the majority occurring metachronously, in males, and with multiple metastases. This case report follows an extremely unique presentation in a 60-year-old female. Although the patient did not exhibit the usual signs and symptoms or meet the typical demographics seen with metastatic renal cell carcinoma, it should find a place on the differential diagnosis list when a gallbladder lesion is detected on imaging during the initial staging and/or restaging in patients with renal-cell carcinoma.
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Oba T, Sato N, Tamura T, Fujimoto K, Matsuyama A, Hirata K. Gallbladder metastasis of renal cell carcinoma presenting as a hypervascular polypoid lesion: case report of two cases with immunohistochemical analysis. Surg Case Rep 2020; 6:86. [PMID: 32347406 PMCID: PMC7188748 DOI: 10.1186/s40792-020-00814-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Accepted: 03/05/2020] [Indexed: 12/17/2022] Open
Abstract
Background Metastasis of renal cell carcinoma (RCC) to the gallbladder is rare, and its clinicopathological feature remains poorly understood. We here present two cases of gallbladder metastasis from RCC presenting as a hypervascular polypoid lesion. Case presentation The first case was a 73-year-old man who had undergone right nephrectomy for clear cell RCC. Imaging studies detected a hypervascular polypoid lesion in the gallbladder 6 years after nephrectomy. Laparoscopic cholecystectomy was done. The pathological findings of the polypoid lesion showed proliferation of clear cells in the submucosal layer. Immunohistochemically, the tumor was positive for carbonic anhydrase 9 (CA9) but negative for cytokeratin 7 (CK7), suggestive of metastatic RCC. The second case was a 43-year-old man who had undergone right nephrectomy for clear cell RCC. Imaging studies revealed a hypervascular polypoid lesion of 20 mm in diameter in the gallbladder 1 year after nephrectomy. The patient underwent expanded cholecystectomy and extra-hepatic bile duct resection with lymphadenectomy. Microscopically, the polypoid lesion of the gallbladder was composed of clear cells in the submucosal layer. Immunohistochemical analysis showed positive staining for epithelial membrane antigen (EMA) and carcinoembryonic antigen (CEA) but negative staining for CK7, leading to the diagnosis of metastatic RCC. Conclusions Gallbladder metastasis from RCC is rare but should be considered when a hypervascular polypoid lesion in the gallbladder is detected during the follow-up period after RCC treatment.
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Affiliation(s)
- Takuya Oba
- Department of Surgery1, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, 807-8555, Japan.
| | - Norihiro Sato
- Department of Surgery1, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, 807-8555, Japan
| | - Toshihisa Tamura
- Department of Surgery1, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, 807-8555, Japan
| | - Katsushi Fujimoto
- Department of Surgery1, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, 807-8555, Japan
| | - Atsuji Matsuyama
- Department of Pathology and Oncology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Keiji Hirata
- Department of Surgery1, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, 807-8555, Japan
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Zouari S, Ben Othmen M, Abdessayed N, Larbi Mama N, Jarrar MS, Sriha B, Mokni M, Jaidane M, Hmida W. Metastatic renal clear cell carcinoma mimicking a gallbladder polyp: Case report and literature review. Int J Surg Case Rep 2019; 64:133-138. [PMID: 31655282 PMCID: PMC6818339 DOI: 10.1016/j.ijscr.2019.09.032] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Revised: 09/12/2019] [Accepted: 09/18/2019] [Indexed: 12/27/2022] Open
Abstract
Metastases to gallbladder from renal cell carcinoma are very rare. Most of the cases are diagnosed incidentally, and both clinical presentation and physical examination are unspecific. Imaging although its specificity can’t make the difference between primary gallbladder carcinoma and metastasis from RCC. Only pathological examination of the specimen after cholecytectomy with immunochemistery can assess the diagnosis.
Introduction Metastatic tumors to the gallbladder are uncommon. Metastases from renal cell carcinoma (RCC) to the gallbladder are exceptional. Frequencies of less than 0.6% reported in large autopsy reviews and few cases have been reported in the literature. Presentation of case Herein we present a case of a 50-year-old man that developed four years after radical nephrectomy for RCC, a gallbladder metastasis, discovered incidentally on Computed Tomography (CT) scan. It was described as an intraluminal gallbladder polyp. Radiological features were very suggestive of primary gallbladder carcinoma, thus the patient had a laparoscopic cholecystectomy. The pathological examination of the surgical specimen concluded to a RCC metastasis. Immunochemistry with vimentin and pancytokeratin were supportive of this diagnosis. The clinical course was uneventful after 18 months period of follow up. Discussion At the time of presentation, almost one-third of the patients with RCC are metastatic. Metastases to the gallbladder are extremely rare. Clinical presentation and physical examination are unspecific. Radiological findings can raise information and orient the diagnosis although the difference between both diagnoses remains difficult. Usually, it is a pedunculated and not associated with gallstones with enhancement on CT scan. The treatment remains surgical with R0 cholecystectomy, and prognosis is mainly related to disease free interval and single site metastasis. Conclusion We highlight here the challenge to make the difference between a primary gallbladder carcinoma and metastasis from RCC. Diagnosis is made on pathological examination and immunochemistry.
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Affiliation(s)
- Skander Zouari
- Sahloul Hospital, Department of Urology, Route de la ceinture, Hammam Sousse, 4011, Sousse, Tunisia
| | - Mouna Ben Othmen
- Sahloul Hospital, Department of Urology, Route de la ceinture, Hammam Sousse, 4011, Sousse, Tunisia
| | - Nihed Abdessayed
- Farhat Hached Hospital, Department of Histopathology, Ibn El Jazzar Road, Sousse Ezzouhour, 4031, Sousse, Tunisia; Research Lab: Transfer in Technology in Anatomic Pathology (LR12SP08), Tunisia.
| | - Nadia Larbi Mama
- Sahloul Hospital, Department of Radiology, Route de la ceinture, Hammam Sousse, 4011, Sousse, Tunisia
| | - Mohamed Salah Jarrar
- Farhat Hached Hospital, Department of General Surgery, Ibn El Jazzar Road, Sousse Ezzouhour, 4031, Sousse, Tunisia
| | - Badreddine Sriha
- Farhat Hached Hospital, Department of Histopathology, Ibn El Jazzar Road, Sousse Ezzouhour, 4031, Sousse, Tunisia; Research Lab: Transfer in Technology in Anatomic Pathology (LR12SP08), Tunisia
| | - Moncef Mokni
- Farhat Hached Hospital, Department of Histopathology, Ibn El Jazzar Road, Sousse Ezzouhour, 4031, Sousse, Tunisia; Research Lab: Transfer in Technology in Anatomic Pathology (LR12SP08), Tunisia
| | - Mehdi Jaidane
- Sahloul Hospital, Department of Urology, Route de la ceinture, Hammam Sousse, 4011, Sousse, Tunisia
| | - Wissem Hmida
- Sahloul Hospital, Department of Urology, Route de la ceinture, Hammam Sousse, 4011, Sousse, Tunisia
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Kopf H, Schima W, Meng S. [Differential diagnosis of gallbladder abnormalities : Ultrasound, computed tomography, and magnetic resonance imaging]. Radiologe 2019; 59:328-337. [PMID: 30789997 DOI: 10.1007/s00117-019-0504-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
CLINICAL ISSUE Due to the high prevalence of clinically suspected cholecystitis or cholecystolithiasis the gallbladder is one of the organs examined the most by imaging. STANDARD RADIOLOGICAL METHODS In most clinical settings ultrasound is the primary imaging method because of its wide availability, speed and superior spatial resolution. In cases of ambiguous findings or potential complications computed tomography (CT) and magnetic resonance imaging (MRI) are used. METHODICAL INNOVATIONS When specific problems arise these imaging modalities may be enhanced by special techniques, e. g. contrast-enhanced ultrasound or dual-energy CT, and specific MRI sequences. PERFORMANCE Special variants of cholecystitis, such as xanthogranulomatous cholecystitis and adenomyomatosis, may pose a particularly difficult diagnostic problem as they may resemble other diseases. Sequelae of cholecystolithiasis, such as the Mirizzi syndrome and acute bowel obstruction, may complicate the imaging algorithm as the location and the symptoms shift. Cases of neoplastic diseases of gallbladder cancer and other malignancies require a broad spectrum of imaging modalities. ACHIEVEMENTS Although the gallbladder can easily be examined with ultrasound, some cases require a more thorough ultrasound examination. In some cases only a combination of multiple imaging modalities yield the diagnosis. Further developments regarding technical issues and the diagnostic algorithm can be expected. PRACTICAL RECOMMENDATIONS Ultrasound is the best first imaging modality. In cases of ambiguous findings or clinical complications CT or MRI are recommended.
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Affiliation(s)
- H Kopf
- Abteilung für Diagnostische und Interventionelle Radiologie, Göttlicher Heiland Krankenhaus, Vinzenzgruppe, Wien, Österreich
| | - W Schima
- Abteilung für Diagnostische und Interventionelle Radiologie, Göttlicher Heiland Krankenhaus, Vinzenzgruppe, Wien, Österreich
| | - S Meng
- Radiologie, KFJ Spital, Wien, Österreich.
- Zentrum für Anatomie und Zellbiologie, Medizinische Universität Wien, Währinger Str. 13, 1090, Wien, Österreich.
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