Solitary metastasis of a urothelial carcinoma in the renal parenchyma imitating a primary tumour of the kidney

Česká verzia

Authors: Alena Kosařová ¹; Petr Prošvic ¹; Tomáš Kovář ¹; Aleš Ryška ² ; Vladimír Straka ³; Abdulbaset Hafuda ¹
Authors place of work: Urologické oddělení, Oblastní nemocnice Náchod a. s. ¹; Fingerlandův ústav patologie LF UK a FN, Hradec Králové ²; Patologicko-cytologické oddělení, Oblastní nemocnice Náchod a. s. ³
Published in the journal: Ces Urol 2014; 18(1): 49-52
Category: Case report

Summary

We present a rare case of metastatic dissemination of urothelial carcinoma into the renal parenchyma. Radical cystectomy with right nefroureterectomy was performed in a 60-years-old man. Dense cyst of the left kidney was described on CT examination. Therefore a partial left side nephrectomy was performed in the second session. The histological diagnosis of a solitary metastasis of the urothelial carcinoma was made.

Key words:
urothelial carcinoma, dissemination, radical cystectomy, partial nephrectomy.

Zdroje

1. Novotvary 2010, ÚZIS, 2013.

2. Melichar B, Morávek P, Ferko A, Podhola M. Metastatic colorectal carcinoma and kidney tumors: a report of four cases. Tumori 2010; 96(3): 483–486.

3. Sánchez-Ortiz RF, Madsen LT, Bermejo CE, Wen S, Shen Y, Swanson DA, Wood CG. A renal mass in the setting of a nonrenal malignancy: When is a renal tumor biopsy appropriate? Cancer 2004; 101(10): 2195–2201.

4. Bailey JE, Roubidoux MA, Dunnick NR. Secondary renal neoplasms. Abdom Imaging. 1998; 23(3): 266–274.

5. Shinagare AB, Ramaiya NH, Jagannathan JP, Fennessy FM, Taplin ME, Van den Abbeele AD. Metastatic pattern of bladder cancer: correlation with the characteristics of the primary tumor. AJR Am J Roentgenol 2011; 196(1): 117–122.

6. Babaian RJ, Johnson DE, Llamas L, Ayala AG. Metastases from transitional cell carcinoma of urinary bladder. Urology 1980; 16(2): 142–144.

7. Matsuguma H, Yoshino I, Ito H, Goya T, Matsui Y, Nakajima J, Ikeda N, Okumura S, Shiono S, Nomori H; Metastatic Lung Tumor Study Group of Japan. Is there a role for pulmonary metastasectomy with a curative intent in patients with metastatic urinary transitional cell carcinoma? Ann Thorac Surg 2011; 92(2): 449–453.

8. Sarmiento JM, Wi MS, Piao Z, Stiner ES. Solitary cerebral metastasis from transitional cell carcinoma after a 14-year remission of urinary bladder cancer treated with gemcitabine: Case report and literature review. Surg Neurol Int 2012; 3: 82.

9. Gallagher HJ, Redmond HP, Deasy J, McLean PA. Hepatic resection of solitary metastasis from transitional cell carcinoma of the bladder. J Urol 1998; 159(3): 986.

10. Gowardhan B, Mathers ME, Feggetter JG. Twenty-three years of disease-free survival following cutaneous metastasis from a primary bladder transitional cell carcinoma. Int J Urol 2004; 11(11): 1031–1032.