Late Metastatic Renal Cell Carcinoma Recurrence Presenting as a Maxillary Sinus Mass 12 Years after Nephrectomy: Case Report and Literature Review

Metastasis to the sinonasal cavity is rare. Late recurrence, such as metastasis developing 10 years or more after nephrectomy, is even more rare. We present a rare case of late metastatic renal cell carcinoma (RCC) in the maxillary sinus after nephrectomy and discuss reported sinonasal metastatic RC...

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Main Authors: Yeon-Hee Joo, Yung Jin Jeon, Hyun-Jin Cho, Sang-Wook Kim
Format: Article
Language:English
Published: Korean Rhinologic Society 2021-03-01
Series:Journal of Rhinology
Subjects:
Online Access:http://www.j-rhinology.org/upload/pdf/jr-2020-00342.pdf
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author Yeon-Hee Joo
Yung Jin Jeon
Hyun-Jin Cho
Sang-Wook Kim
author_facet Yeon-Hee Joo
Yung Jin Jeon
Hyun-Jin Cho
Sang-Wook Kim
author_sort Yeon-Hee Joo
collection DOAJ
description Metastasis to the sinonasal cavity is rare. Late recurrence, such as metastasis developing 10 years or more after nephrectomy, is even more rare. We present a rare case of late metastatic renal cell carcinoma (RCC) in the maxillary sinus after nephrectomy and discuss reported sinonasal metastatic RCC cases. A 64-year-old man presented with left nasal obstruction for the previous one year. He had undergone right nephrectomy to treat RCC 12 years prior. Paranasal sinus computed tomography and magnetic resolution imaging revealed a 4.6-cm-diameter mass exhibiting delayed contrast enhancement that filled the left maxillary sinus and the nasal cavity. Histologically, clear cell RCC was diagnosed. We resected the maxillary sinus tumor to resolve the nasal obstruction for palliative symptom relief. There has been no evidence of recurrence to date, 3 years postoperatively. When a patient with a history of RCC presents with a hypervascular paranasal sinus mass, metastatic RCC should be considered, despite history of nephrectomy. It is important to make an appropriate treatment plan depending on extent of metastases and location of the metastatic tumor.
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spelling doaj.art-1fff66d5becd43d396f36d2cd40392962022-12-21T23:10:31ZengKorean Rhinologic SocietyJournal of Rhinology1229-14982384-43612021-03-01281667110.18787/jr.2020.00342707Late Metastatic Renal Cell Carcinoma Recurrence Presenting as a Maxillary Sinus Mass 12 Years after Nephrectomy: Case Report and Literature ReviewYeon-Hee Joo0Yung Jin Jeon1Hyun-Jin Cho2Sang-Wook Kim3 Department of Otorhinolaryngology, Gyeongsang National University Changwon Hospital and Gyeongsang National University College of Medicine, Changwon, Korea Department of Otorhinolaryngology, Gyeongsang National University Hospital and Gyeongsang National University College of Medicine, Jinju, Korea Department of Otorhinolaryngology, Gyeongsang National University Hospital and Gyeongsang National University College of Medicine, Jinju, Korea Department of Otorhinolaryngology, Gyeongsang National University Hospital and Gyeongsang National University College of Medicine, Jinju, KoreaMetastasis to the sinonasal cavity is rare. Late recurrence, such as metastasis developing 10 years or more after nephrectomy, is even more rare. We present a rare case of late metastatic renal cell carcinoma (RCC) in the maxillary sinus after nephrectomy and discuss reported sinonasal metastatic RCC cases. A 64-year-old man presented with left nasal obstruction for the previous one year. He had undergone right nephrectomy to treat RCC 12 years prior. Paranasal sinus computed tomography and magnetic resolution imaging revealed a 4.6-cm-diameter mass exhibiting delayed contrast enhancement that filled the left maxillary sinus and the nasal cavity. Histologically, clear cell RCC was diagnosed. We resected the maxillary sinus tumor to resolve the nasal obstruction for palliative symptom relief. There has been no evidence of recurrence to date, 3 years postoperatively. When a patient with a history of RCC presents with a hypervascular paranasal sinus mass, metastatic RCC should be considered, despite history of nephrectomy. It is important to make an appropriate treatment plan depending on extent of metastases and location of the metastatic tumor.http://www.j-rhinology.org/upload/pdf/jr-2020-00342.pdfrenal cell carcinomametastasisparanasal sinusnephrectomy
spellingShingle Yeon-Hee Joo
Yung Jin Jeon
Hyun-Jin Cho
Sang-Wook Kim
Late Metastatic Renal Cell Carcinoma Recurrence Presenting as a Maxillary Sinus Mass 12 Years after Nephrectomy: Case Report and Literature Review
Journal of Rhinology
renal cell carcinoma
metastasis
paranasal sinus
nephrectomy
title Late Metastatic Renal Cell Carcinoma Recurrence Presenting as a Maxillary Sinus Mass 12 Years after Nephrectomy: Case Report and Literature Review
title_full Late Metastatic Renal Cell Carcinoma Recurrence Presenting as a Maxillary Sinus Mass 12 Years after Nephrectomy: Case Report and Literature Review
title_fullStr Late Metastatic Renal Cell Carcinoma Recurrence Presenting as a Maxillary Sinus Mass 12 Years after Nephrectomy: Case Report and Literature Review
title_full_unstemmed Late Metastatic Renal Cell Carcinoma Recurrence Presenting as a Maxillary Sinus Mass 12 Years after Nephrectomy: Case Report and Literature Review
title_short Late Metastatic Renal Cell Carcinoma Recurrence Presenting as a Maxillary Sinus Mass 12 Years after Nephrectomy: Case Report and Literature Review
title_sort late metastatic renal cell carcinoma recurrence presenting as a maxillary sinus mass 12 years after nephrectomy case report and literature review
topic renal cell carcinoma
metastasis
paranasal sinus
nephrectomy
url http://www.j-rhinology.org/upload/pdf/jr-2020-00342.pdf
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AT yungjinjeon latemetastaticrenalcellcarcinomarecurrencepresentingasamaxillarysinusmass12yearsafternephrectomycasereportandliteraturereview
AT hyunjincho latemetastaticrenalcellcarcinomarecurrencepresentingasamaxillarysinusmass12yearsafternephrectomycasereportandliteraturereview
AT sangwookkim latemetastaticrenalcellcarcinomarecurrencepresentingasamaxillarysinusmass12yearsafternephrectomycasereportandliteraturereview