Solitary Metastasis in the Gluteus Maximus from Renal Cell Carcinoma 12 Years after Nephrectomy

Tonno, F. Di; Rigon, R; Capizzi, Giorgio; Bucca, D.; Pietro, Roberta Di; Zennari, R

doi:10.3109/00365599309180435

Cited by 17 publications

(9 citation statements)

References 8 publications

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“…9,11,26,34 For the remaining 23 cases, the interval ranged from 6-252 months (average: 101 months). 2,7,10,[12][13][14][15][16][17][18][19][20]22,23,25,30,31,33,35,36,[38][39][40] The average size of the skeletal muscle metastases at presentation, available for 28 of the lesions reported in the literature these were therefore not included in the analysis. 4,8,9 The average age of the patients from the literature review at the time of the first skeletal muscle metastasis discovery was 61.9 years (range: 41-81 years).…”

Section: Resultsmentioning

confidence: 99%

“…11,44 In addition, recent developments in chemotherapy, review, was 53.4 mm in the greatest dimension (range: 10-160 mm). 2,10,[12][13][14][15][16][17][18][19][20][21][22][23][24][25]27,28,30,32,35,[37][38][39][40] Of the 14 metastases for which data on CT appearance were available, 10 showed enhancement and one was isodense to the muscle on non-contrasted CT. 7,9,[12][13][14][15][16][17][18]23 Of the metastases for which data on MRI appearance were available, five had low to intermediate signal intensity and five had high signal intensity on T1-weighted images. 2,3,7,10,12,14,17,19,34,35 Two had intermediate signal intensity and nine had high signal intensity on T2-weighted images.…”

Section: 42mentioning

confidence: 99%

“…2,7,8,10,13,15,19,21,23,24,27,29,32,35,[37][38][39] For 12 patients, the skeletal muscle metastasis was the only known metastasis at the time it was discovered. [16][17][18]20,22,25,28,30,31,33,36,40 …”

Section: 42mentioning

confidence: 99%

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Skeletal Muscle Metastasis from Renal Cell Carcinoma: 21 cases and review of the literature

Haygood

Sayyouh

Wong

et al. 2015

Sultan Qaboos Univ Med J

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abstract:Objectives: This study aimed to raise radiologists' awareness of skeletal muscle metastases (SMM) in renal cell carcinoma (RCC) cases and to clarify their imaging appearance. Methods: A retrospective analysis was undertaken of 21 patients between 44-75 years old with 72 SMM treated from January 1990 to May 2009 at the MD Anderson Cancer Center in Houston, Texas, USA. Additionally, 37 patients with 44 SMM from a literature review were analysed. Results: Among the 21 patients, the majority of SMM were asymptomatic and detected via computed tomography (CT). Mean metastasis size was 18.3 mm and the most common site was the trunk muscles (83.3%). The interval between discovery of the primary tumour and metastasis detection ranged up to 234 months. Peripheral enhancement (47.1%) was the most common post-contrast CT pattern and non-contrasted CT lesions were often isodense. Magnetic resonance imaging (MRI) characteristics were varied. Five lesions with available T1-weighted pre-contrast images were hyperintense to the surrounding muscle. Other organ metastases were present in 20 patients. Of the 44 SMM reported in the literature, the majority were symptomatic. Average metastasis size was 53.4 mm and only 20.5% of SMM were in trunk muscles. The average interval between tumour discovery and metastasis detection was 101 months. Other organ metastases were recorded in 17 out of 29 patients. Conclusion: SMM should always be considered in patients with RCC, even well after primary treatment. SMM from RCC may be invisible on CT without intravenous contrast; contrast-enhanced studies are therefore recommended. SMM are often hyperintense to the surrounding muscle on T1-weighted MRI scans. Keywords

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Section: Resultsmentioning

confidence: 99%

Section: 42mentioning

confidence: 99%

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Skeletal Muscle Metastasis from Renal Cell Carcinoma: 21 cases and review of the literature

Haygood

Sayyouh

Wong

et al. 2015

Sultan Qaboos Univ Med J

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“…Reported sizes range from 1.5 to 10 cm (average, 5.4 cm) in largest diameter [1,2,5,6,8,9,13,16,18,21,25,27,32,36,41]. While 11% of renal cell carcinoma metastases occur more than 10 years after nephrectomy [22], skeletal muscle metastasis after long-term survival remains uncommon.…”

Section: Discussion and Treatmentmentioning

confidence: 99%

“…Surgical excision may be attempted in the absence of widespread disease [1,2,6,9,15,19,25,27,35], although recurrence has been reported [15]. Disseminated disease to the lung, bone, and liver requires treatment with chemotherapy and/or radiation [5,16,17].…”

Section: Discussion and Treatmentmentioning

confidence: 99%

Thigh Mass in a 73-year-old Man

Pompo

King

Iwenofu

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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A 73-year-old man was referred with a chief complaint of a left posterior thigh mass. The mass had been present for 2 months. The patient reported mild pain that was intermittent, aching, and sharp and occurred only after prolonged sitting. He had no history of trauma, fever, chills, night sweats, weight loss, or night pain. His medical history included renal cell carcinoma treated with a right nephrectomy 21 years earlier, Type II diabetes of 15 years' duration, and a benign pancreatic mass. An MRI of the mass had recently been performed. The rest of the patient's history was unremarkable.On physical examination of the left posterior thigh, a nontender soft tissue mass was palpated that was also firm, deep, and fixed with contraction of the hamstring muscles. There were no skin changes, erythema, or overlying warmth. Active and passive range of motion of the hip and knee were full and painless. The neurologic examination of the left lower extremity was normal. Gait was normal. The remainder of the musculoskeletal examination was normal.MRI scan (Fig.

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Metastases from Cancers of the Urogenital Tract

TxNxM1

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Solitary Metastasis in the Gluteus Maximus from Renal Cell Carcinoma 12 Years after Nephrectomy

Cited by 17 publications

References 8 publications

Skeletal Muscle Metastasis from Renal Cell Carcinoma: 21 cases and review of the literature

Skeletal Muscle Metastasis from Renal Cell Carcinoma: 21 cases and review of the literature

Thigh Mass in a 73-year-old Man

Metastases from Cancers of the Urogenital Tract

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