Lingual metastasis as an initial presentation of renal cell carcinoma: a case report
Abstract Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We p...
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| Format: | Article |
| Language: | English |
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BMC
2017-11-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13256-017-1470-5 |
| _version_ | 1818082346106093568 |
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| author | Hanan Raiss Sophie Duplomb Sophie Tartas Mohamed Layachi Hassan Errihani |
| author_facet | Hanan Raiss Sophie Duplomb Sophie Tartas Mohamed Layachi Hassan Errihani |
| author_sort | Hanan Raiss |
| collection | DOAJ |
| description | Abstract Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. Conclusion Tongue lesions require a complete assessment to distinguish a metastasis from a primary cancer in order to give the appropriate treatment. |
| first_indexed | 2024-12-10T19:20:38Z |
| format | Article |
| id | doaj.art-301b8da48ab541b9aa21cb0201965feb |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-10T19:20:38Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-301b8da48ab541b9aa21cb0201965feb2022-12-22T01:36:30ZengBMCJournal of Medical Case Reports1752-19472017-11-011111710.1186/s13256-017-1470-5Lingual metastasis as an initial presentation of renal cell carcinoma: a case reportHanan Raiss0Sophie Duplomb1Sophie Tartas2Mohamed Layachi3Hassan Errihani4Service d’Oncologie Médicale, Institut National d’Oncologie, CHU Rabat and Université Mohamed VInstitut de Cancérologie, Hospices Civils de Lyon and Université de LyonInstitut de Cancérologie, Hospices Civils de Lyon and Université de LyonService d’Oncologie Médicale, Institut National d’Oncologie, CHU Rabat and Université Mohamed VService d’Oncologie Médicale, Institut National d’Oncologie, CHU Rabat and Université Mohamed VAbstract Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. Conclusion Tongue lesions require a complete assessment to distinguish a metastasis from a primary cancer in order to give the appropriate treatment.http://link.springer.com/article/10.1186/s13256-017-1470-5Renal cell carcinomaTongue metastasisLingual metastasisSarcomatoid component |
| spellingShingle | Hanan Raiss Sophie Duplomb Sophie Tartas Mohamed Layachi Hassan Errihani Lingual metastasis as an initial presentation of renal cell carcinoma: a case report Journal of Medical Case Reports Renal cell carcinoma Tongue metastasis Lingual metastasis Sarcomatoid component |
| title | Lingual metastasis as an initial presentation of renal cell carcinoma: a case report |
| title_full | Lingual metastasis as an initial presentation of renal cell carcinoma: a case report |
| title_fullStr | Lingual metastasis as an initial presentation of renal cell carcinoma: a case report |
| title_full_unstemmed | Lingual metastasis as an initial presentation of renal cell carcinoma: a case report |
| title_short | Lingual metastasis as an initial presentation of renal cell carcinoma: a case report |
| title_sort | lingual metastasis as an initial presentation of renal cell carcinoma a case report |
| topic | Renal cell carcinoma Tongue metastasis Lingual metastasis Sarcomatoid component |
| url | http://link.springer.com/article/10.1186/s13256-017-1470-5 |
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