Asymptomatic renal cell carcinoma with metastasis to the skin and duodenum: a case report and review of the literature
Autor: | Yvonne Littler, Adhip Mandal, Gabor Libertiny |
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Rok vydání: | 2012 |
Předmět: |
Pathology
medicine.medical_specialty Skin Neoplasms Duodenum Biopsy Malignancy Asymptomatic Article Metastasis Diagnosis Differential Melena Renal cell carcinoma Duodenal Neoplasms medicine Humans Carcinoma Renal Cell Duodenoscopy Duodenal Neoplasm Skin business.industry General Medicine Middle Aged medicine.disease Kidney Neoplasms Female Skin cancer medicine.symptom Differential diagnosis business Tomography X-Ray Computed |
Zdroj: | BMJ case reports. 2012 |
ISSN: | 1757-790X |
Popis: | Renal cell carcinoma is known to have blood-borne metastasis. This is usually to the bone, lungs and brain. Other unusual metastatic presentations such as skin and bowel metastasis have also been described. In most cases, the metastasis occurs as a late manifestation in a patient with known primary renal cell carcinoma. A rare synchronous presentation of skin and duodenal metastasis in an otherwise asymptomatic patient is reported here. This patient presented with a skin lesion that, on excision, brought up the diagnosis of metastatic renal cell carcinoma. While the patient was waiting for surgery, she also developed melena that, on gastroscopy, confirmed a duodenal metastasis. This case highlights the importance of early recognition of otherwise unrelated lesions as presentations for an advanced renal malignancy. |
Databáze: | OpenAIRE |
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