Unusual metastasis from renal cell cancer after partial nephrectomy and sequential targeted therapy

Introduction Metastatic renal cell carcinoma is treated with various regimens. As their outcomes are improving and follow‐up periods are growing longer, the rate of unusual visceral metastases may increase. Case presentation A 68‐year‐old man diagnosed with lung, pancreatic, and renal metastases 9 y...

Full description

Bibliographic Details
Main Authors: Shotaro Yasuoka, Takeshi Yuasa, Motohiro Fujiwara, Junko Fujisaki, Kentaro Inamura, Yoshinobu Komai, Noboru Numao, Shinya Yamamoto, Junji Yonese
Format: Article
Language:English
Published: Wiley 2021-05-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12261
_version_ 1819320004635525120
author Shotaro Yasuoka
Takeshi Yuasa
Motohiro Fujiwara
Junko Fujisaki
Kentaro Inamura
Yoshinobu Komai
Noboru Numao
Shinya Yamamoto
Junji Yonese
author_facet Shotaro Yasuoka
Takeshi Yuasa
Motohiro Fujiwara
Junko Fujisaki
Kentaro Inamura
Yoshinobu Komai
Noboru Numao
Shinya Yamamoto
Junji Yonese
author_sort Shotaro Yasuoka
collection DOAJ
description Introduction Metastatic renal cell carcinoma is treated with various regimens. As their outcomes are improving and follow‐up periods are growing longer, the rate of unusual visceral metastases may increase. Case presentation A 68‐year‐old man diagnosed with lung, pancreatic, and renal metastases 9 years after left partial nephrectomy and a diagnosis of pT1a clear cell renal cell carcinoma started molecular targeted therapy using sunitinib. Nine years after the initiation of targeted therapy, a mass lesion in the esophagus was revealed by follow‐up computed tomography, and endoscopic mucosal resection of the esophageal metastatic lesion was performed. One year later, a bladder tumor was detected by follow‐up computed tomography. The patient underwent transurethral resection of the bladder tumor. Histological evaluation of both resected specimens disclosed clear cell renal cell carcinoma. Conclusion We present a valuable case of metachronous esophagus and bladder metastases from renal cell carcinoma in a long‐term follow‐up.
first_indexed 2024-12-24T11:12:41Z
format Article
id doaj.art-db2770bc79444e749f76a3889bc07507
institution Directory Open Access Journal
issn 2577-171X
language English
last_indexed 2024-12-24T11:12:41Z
publishDate 2021-05-01
publisher Wiley
record_format Article
series IJU Case Reports
spelling doaj.art-db2770bc79444e749f76a3889bc075072022-12-21T16:58:28ZengWileyIJU Case Reports2577-171X2021-05-014313613810.1002/iju5.12261Unusual metastasis from renal cell cancer after partial nephrectomy and sequential targeted therapyShotaro Yasuoka0Takeshi Yuasa1Motohiro Fujiwara2Junko Fujisaki3Kentaro Inamura4Yoshinobu Komai5Noboru Numao6Shinya Yamamoto7Junji Yonese8Departments of Department of Urology Cancer Institute Hospital Japanese Foundation for Cancer Research TokyoJapanDepartments of Department of Urology Cancer Institute Hospital Japanese Foundation for Cancer Research TokyoJapanDepartments of Department of Urology Cancer Institute Hospital Japanese Foundation for Cancer Research TokyoJapanDepartment of Gastroenterological Medicine Cancer Institute Hospital Japanese Foundation for Cancer Research TokyoJapanDepartment of Pathology Cancer Institute Hospital Japanese Foundation for Cancer Research Tokyo JapanDepartments of Department of Urology Cancer Institute Hospital Japanese Foundation for Cancer Research TokyoJapanDepartments of Department of Urology Cancer Institute Hospital Japanese Foundation for Cancer Research TokyoJapanDepartments of Department of Urology Cancer Institute Hospital Japanese Foundation for Cancer Research TokyoJapanDepartments of Department of Urology Cancer Institute Hospital Japanese Foundation for Cancer Research TokyoJapanIntroduction Metastatic renal cell carcinoma is treated with various regimens. As their outcomes are improving and follow‐up periods are growing longer, the rate of unusual visceral metastases may increase. Case presentation A 68‐year‐old man diagnosed with lung, pancreatic, and renal metastases 9 years after left partial nephrectomy and a diagnosis of pT1a clear cell renal cell carcinoma started molecular targeted therapy using sunitinib. Nine years after the initiation of targeted therapy, a mass lesion in the esophagus was revealed by follow‐up computed tomography, and endoscopic mucosal resection of the esophageal metastatic lesion was performed. One year later, a bladder tumor was detected by follow‐up computed tomography. The patient underwent transurethral resection of the bladder tumor. Histological evaluation of both resected specimens disclosed clear cell renal cell carcinoma. Conclusion We present a valuable case of metachronous esophagus and bladder metastases from renal cell carcinoma in a long‐term follow‐up.https://doi.org/10.1002/iju5.12261bladder metastasisesophageal metastasisrenal cell cancer
spellingShingle Shotaro Yasuoka
Takeshi Yuasa
Motohiro Fujiwara
Junko Fujisaki
Kentaro Inamura
Yoshinobu Komai
Noboru Numao
Shinya Yamamoto
Junji Yonese
Unusual metastasis from renal cell cancer after partial nephrectomy and sequential targeted therapy
IJU Case Reports
bladder metastasis
esophageal metastasis
renal cell cancer
title Unusual metastasis from renal cell cancer after partial nephrectomy and sequential targeted therapy
title_full Unusual metastasis from renal cell cancer after partial nephrectomy and sequential targeted therapy
title_fullStr Unusual metastasis from renal cell cancer after partial nephrectomy and sequential targeted therapy
title_full_unstemmed Unusual metastasis from renal cell cancer after partial nephrectomy and sequential targeted therapy
title_short Unusual metastasis from renal cell cancer after partial nephrectomy and sequential targeted therapy
title_sort unusual metastasis from renal cell cancer after partial nephrectomy and sequential targeted therapy
topic bladder metastasis
esophageal metastasis
renal cell cancer
url https://doi.org/10.1002/iju5.12261
work_keys_str_mv AT shotaroyasuoka unusualmetastasisfromrenalcellcancerafterpartialnephrectomyandsequentialtargetedtherapy
AT takeshiyuasa unusualmetastasisfromrenalcellcancerafterpartialnephrectomyandsequentialtargetedtherapy
AT motohirofujiwara unusualmetastasisfromrenalcellcancerafterpartialnephrectomyandsequentialtargetedtherapy
AT junkofujisaki unusualmetastasisfromrenalcellcancerafterpartialnephrectomyandsequentialtargetedtherapy
AT kentaroinamura unusualmetastasisfromrenalcellcancerafterpartialnephrectomyandsequentialtargetedtherapy
AT yoshinobukomai unusualmetastasisfromrenalcellcancerafterpartialnephrectomyandsequentialtargetedtherapy
AT noborunumao unusualmetastasisfromrenalcellcancerafterpartialnephrectomyandsequentialtargetedtherapy
AT shinyayamamoto unusualmetastasisfromrenalcellcancerafterpartialnephrectomyandsequentialtargetedtherapy
AT junjiyonese unusualmetastasisfromrenalcellcancerafterpartialnephrectomyandsequentialtargetedtherapy