Solitary, Endobronchial Metastasis from Renal Cell Carcinoma 20 Years after Nephrectomy

Late recurrence over 10 years after surgery and endobronchial metastasis are some of the specific biological behaviors of renal cell carcinoma (RCC). The current report describes a case of solitary endobronchial metastasis at a subsegmental bronchus that developed 20 years after curative nephrect...

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Main Authors: Min Ju Kim, Jung Im Kim, Kyu Yeoun Won, Han Na Lee
Format: Article
Language:English
Published: The Korean Society of Radiology 2021-07-01
Series:대한영상의학회지
Subjects:
Online Access:https://doi.org/10.3348/jksr.2020.0131
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author Min Ju Kim
Jung Im Kim
Kyu Yeoun Won
Han Na Lee
author_facet Min Ju Kim
Jung Im Kim
Kyu Yeoun Won
Han Na Lee
author_sort Min Ju Kim
collection DOAJ
description Late recurrence over 10 years after surgery and endobronchial metastasis are some of the specific biological behaviors of renal cell carcinoma (RCC). The current report describes a case of solitary endobronchial metastasis at a subsegmental bronchus that developed 20 years after curative nephrectomy for RCC. A 71‑year‑old male was admitted to our hospital for pneumonia. Chest radiography showed multifocal ill-defined nodular opacities in the right lower lung zone, suggesting pneumonia. Subsequent chest CT confirmed pneumonic infiltration in the right lung. However, a 4.3-cm, well-defined, elongated mass with a branching pattern was also identified in the right lower lobe, and a right nephrectomy scar was detected on the covered upper abdomen. The patient had undergone right nephrectomy 20 years ago due to clear cell RCC. After right lower lobectomy, the postoperative pathological diagnosis was endobronchial metastatic clear cell RCC. Endobronchial metastasis should be considered in a patient with a history of RCC who presents with a suspected endobronchial tumor, even decades after curative surgery.
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spelling doaj.art-473c6fec44a940889ba51e4c1c6bebb12022-12-21T22:33:52ZengThe Korean Society of Radiology대한영상의학회지2288-29282021-07-01824994999https://doi.org/10.3348/jksr.2020.0131Solitary, Endobronchial Metastasis from Renal Cell Carcinoma 20 Years after NephrectomyMin Ju KimJung Im KimKyu Yeoun WonHan Na LeeLate recurrence over 10 years after surgery and endobronchial metastasis are some of the specific biological behaviors of renal cell carcinoma (RCC). The current report describes a case of solitary endobronchial metastasis at a subsegmental bronchus that developed 20 years after curative nephrectomy for RCC. A 71‑year‑old male was admitted to our hospital for pneumonia. Chest radiography showed multifocal ill-defined nodular opacities in the right lower lung zone, suggesting pneumonia. Subsequent chest CT confirmed pneumonic infiltration in the right lung. However, a 4.3-cm, well-defined, elongated mass with a branching pattern was also identified in the right lower lobe, and a right nephrectomy scar was detected on the covered upper abdomen. The patient had undergone right nephrectomy 20 years ago due to clear cell RCC. After right lower lobectomy, the postoperative pathological diagnosis was endobronchial metastatic clear cell RCC. Endobronchial metastasis should be considered in a patient with a history of RCC who presents with a suspected endobronchial tumor, even decades after curative surgery.https://doi.org/10.3348/jksr.2020.0131carcinomarenal cell carcinomametastasis
spellingShingle Min Ju Kim
Jung Im Kim
Kyu Yeoun Won
Han Na Lee
Solitary, Endobronchial Metastasis from Renal Cell Carcinoma 20 Years after Nephrectomy
대한영상의학회지
carcinoma
renal cell carcinoma
metastasis
title Solitary, Endobronchial Metastasis from Renal Cell Carcinoma 20 Years after Nephrectomy
title_full Solitary, Endobronchial Metastasis from Renal Cell Carcinoma 20 Years after Nephrectomy
title_fullStr Solitary, Endobronchial Metastasis from Renal Cell Carcinoma 20 Years after Nephrectomy
title_full_unstemmed Solitary, Endobronchial Metastasis from Renal Cell Carcinoma 20 Years after Nephrectomy
title_short Solitary, Endobronchial Metastasis from Renal Cell Carcinoma 20 Years after Nephrectomy
title_sort solitary endobronchial metastasis from renal cell carcinoma 20 years after nephrectomy
topic carcinoma
renal cell carcinoma
metastasis
url https://doi.org/10.3348/jksr.2020.0131
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AT jungimkim solitaryendobronchialmetastasisfromrenalcellcarcinoma20yearsafternephrectomy
AT kyuyeounwon solitaryendobronchialmetastasisfromrenalcellcarcinoma20yearsafternephrectomy
AT hannalee solitaryendobronchialmetastasisfromrenalcellcarcinoma20yearsafternephrectomy