Metástasis testicular metacrónica secundaria a adenocarcinoma renal de células claras

Ibarguren, Roberto Llarena; Rodríguez, Jorge García-Olaverri; Arin, Igor Azurmendi; Grasa, Ivan Olano; Peña, Carlos Pertusa

doi:10.4321/s0004-06142008000400012

Cited by 5 publications

(5 citation statements)

References 6 publications

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“…Out of these, 17 cases were metastasis of RCC of clear cell type. Six of these cases were diagnosed as primary ovarian clear cell cancer, while renal primary was diagnosed only after extensive investigations [74-81]. …”

Section: Rare Metastatic Sites Of Renal Cell Cancermentioning

confidence: 99%

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Atypical presentations and rare metastatic sites of renal cell carcinoma: a review of case reports

Sountoulides

Metaxa

Cindolo³

2011

J Med Case Reports

166

180

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Renal cell carcinoma is a potentially lethal cancer with aggressive behavior and a propensity for metastatic spread. Due to the fact that the patterns of metastases from renal cell carcinomas are not clearly defined, there have been several reports of cases of renal cell carcinoma associated with rare metastatic sites and atypical presenting symptoms. The present review focuses on these atypical rare clinical presentations of renal cell carcinomas both at the time of diagnosis of the primary tumor but also in the years after radical nephrectomy.

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Section: Rare Metastatic Sites Of Renal Cell Cancermentioning

confidence: 99%

“…Regarding the vagina and uterus, to our knowledge, there is one report in the literature of metastatic oncocytic papillary RCC to the endometrium in an 89-year-old woman presented with vaginal bleeding, one of vaginal metastasis from RCC and another one of cervical carcinoma in a 45-year-old woman [80,81]. …”

Section: Rare Metastatic Sites Of Renal Cell Cancermentioning

confidence: 99%

Atypical presentations and rare metastatic sites of renal cell carcinoma: a review of case reports

Sountoulides

Metaxa

Cindolo³

2011

J Med Case Reports

166

180

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“…[ 11 ] Despite the similarities, a halo of metastases may be an important particular ultrasonographic feature that seminomas do not have. Llarena Ibarguren et al [ 3 ] also described a halo around the testicular metastasis from RCC. Also, epidemiologic factors may help.…”

Section: Discussionmentioning

confidence: 99%

“…Appropriately 35 cases have been reported in the literature. [ 3 – 6 ] A very few of them have reported the ultrasonographic features of metastases from RCC. [ 1 , 3 ] We present a case of a patient with a right testicular metastasis secondary to clear cell RCC and describe its features on duplex ultrasound in order to assist diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic features of testicular metastasis from renal clear cell carcinoma that mimics a seminoma

Huang

Ling²,

Qiu³

et al. 2018

Medicine

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RationaleTesticular metastases from renal cell carcinoma (RCC) are extremely rare. To the best of our knowledge, only 35 cases have been described in the literatures.Patient concernsA 64-year-old male presented to our urology clinic for a palpable painless mass on his right side of the scrotum by self-examination 1 week ago, with a general abdominal ultrasonographic report showing a mass in his right kidney.Diagnoses and interventionsScrotal B-mode ultrasound revealed a 15 × 13 × 15 mm well-defined round homogenously hypoechoic nodule with a halo at the upper pole of the right testis. Color Doppler and spectral Doppler ultrasound detected abundant intranodular and perinodular blood flow signals including both arteries and veins. Malignancy was suspected. Abdominal contrast-enhanced computed tomography identified an irregular tumor in the posterior side of the right kidney, highly suspicious for renal carcinoma. The patient received right radical nephrectomy and right partial orchiectomy. Histologically, the right renal mass was diagnosed as RCC, clear cell type, grade 2. As to the right testicular mass, a metastasis from renal clear cell carcinoma was confirmed.OutcomesThe patient has lived with no recurrence for at least 17 months without adjuvant therapy.LessonsIn the case, we focus on the ultrasonographic features of the testicular metastasis from RCC. Ultrasound could provide initial and helpful information for diagnosis. When finding a mass in the testicle on the ultrasound, although most of them are primary, it is important to know whether the patient has tumor history from other parts of the body. A halo may be a special feature for metastases. Contrast-enhanced ultrasound (CEUS) and ultrasonic elastography could provide more information for differential diagnoses.

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“…The most frequent origin of them is the prostate (Dutt et al, 2000;Llarena Ibarguren et al, 2008). Very rarely, intrascrotal metastasis from RCC has been reported (Schmorl et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Metachronous contralateral testicular and bilateral adrenal metastasis of chromophobe renal cell carcinoma: a case report and review of the literature

Zhang

et al. 2010

J. Zhejiang Univ. Sci. B

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Chromophobe renal cell carcinoma (ChRCC) metastatic to the testis has not, to the best of our knowledge, been reported in the literature. Nor have there been reports of delayed bilateral adrenal metastasis of ChRCC. Here we report a case of metachronous contralateral testicular and bilateral adrenal metastasis of ChRCC in a 70-year-old man who underwent right radical nephrectomy for RCC six years ago. He was admitted to the hospital because of left intrascrotal enlargement of two-month duration. Ultrasonography revealed a mass in the upper pole of the left testis. Computed tomography (CT) showed irregular masses in the bilateral adrenal area. Left radical orchiectomy and laparoscopic bilateral adrenalectomy were performed. The pathologic examination showed metastatic ChRCC in the left testis and bilateral adrenal gland. Postoperative follow-up showed that the patient had survived for at least 56 months without recurrence. The case highlights the unique behavior of RCC with an unusual site of metastasis and favorable survival after multiple metastasectomy.

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Metástasis testicular metacrónica secundaria a adenocarcinoma renal de células claras

Abstract: Testicular secondary metastatic tumors account for less than 1% of old testicular tumors. In patients in the fifth and sixth decades, mainly if they are affected by other neoplasias, testicular masses use to be metastatic implants. The most frequent origin is prostate.

Cited by 5 publications

References 6 publications

Atypical presentations and rare metastatic sites of renal cell carcinoma: a review of case reports

Atypical presentations and rare metastatic sites of renal cell carcinoma: a review of case reports

Ultrasonographic features of testicular metastasis from renal clear cell carcinoma that mimics a seminoma

Metachronous contralateral testicular and bilateral adrenal metastasis of chromophobe renal cell carcinoma: a case report and review of the literature

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