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Fan G, Xie YU, Pei X, Lei J, Ye M, Zeng G, Li F, Xiong Y, Han W. Renal metastasis from cervical carcinoma presenting as a renal cyst: A case report. Oncol Lett 2015; 10:2761-2764. [PMID: 26722238 PMCID: PMC4665838 DOI: 10.3892/ol.2015.3690] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2014] [Accepted: 08/05/2015] [Indexed: 12/26/2022] Open
Abstract
In the present study, the case of a 51-year-old female with a metastatic tumor in the left kidney originating from cervical carcinoma, is reported. The patient had undergone chemoradiotherapy for stage IIB squamous-cell carcinoma of the uterine cervix 3 years earlier. Computed tomography (CT) identified low-density left renal nodules, which were diagnosed post-operatively as renal cysts during the follow-up conducted 2 years later. The next year, the patient was admitted to the Hunan Provincial Tumor Hospital (The Affiliated Tumor Hospital of Xiangya Medical College, Central South University, Changsha, Hunan, China) with a fever of unknown origin, left-sided flank pain and hematuria. CT examination detected irregular low-density nodules in the left kidney and heterogeneous enhancement on enhanced CT. Subsequently, the patient was subjected to a nephrectomy. Post-surgical analysis of subsequent biopsies indicated kidney tumor metastasis originating from cervical carcinoma. Renal metastases are rare in patients with cervical carcinoma. The present study reported a case of renal metastasis originating from cervical carcinoma and also reviewed previous case reports on patients presenting with this unusual type of cancer.
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Affiliation(s)
- Gang Fan
- Department of Urology, Hunan Provincial Tumor Hospital, The Affiliated Tumor Hospital of Xiangya Medical College, Central South University, Changsha, Hunan 410013, P.R. China
| | - Y U Xie
- Department of Urology, Hunan Provincial Tumor Hospital, The Affiliated Tumor Hospital of Xiangya Medical College, Central South University, Changsha, Hunan 410013, P.R. China
| | - Xiaming Pei
- Department of Urology, Hunan Provincial Tumor Hospital, The Affiliated Tumor Hospital of Xiangya Medical College, Central South University, Changsha, Hunan 410013, P.R. China
| | - Jian Lei
- Department of Pathology, Hunan Provincial Tumor Hospital, The Affiliated Tumor Hospital of Xiangya Medical College, Central South University, Changsha, Hunan 410013, P.R. China
| | - Mingji Ye
- Department of Urology, Hunan Provincial Tumor Hospital, The Affiliated Tumor Hospital of Xiangya Medical College, Central South University, Changsha, Hunan 410013, P.R. China
| | - Gongqian Zeng
- Department of Urology, Hunan Provincial Tumor Hospital, The Affiliated Tumor Hospital of Xiangya Medical College, Central South University, Changsha, Hunan 410013, P.R. China
| | - Feiping Li
- Department of Radiology, Hunan Provincial Tumor Hospital, The Affiliated Tumor Hospital of Xiangya Medical College, Central South University, Changsha, Hunan 410013, P.R. China
| | - Yingying Xiong
- Department of Pathology, Hunan Provincial Tumor Hospital, The Affiliated Tumor Hospital of Xiangya Medical College, Central South University, Changsha, Hunan 410013, P.R. China
| | - Weiqin Han
- Department of Urology, Hunan Provincial Tumor Hospital, The Affiliated Tumor Hospital of Xiangya Medical College, Central South University, Changsha, Hunan 410013, P.R. China
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Abstract
A 53-year-old woman presented bilateral renal masses, which were interpreted as abscesses with a computed tomography scan 9 years after primary surgery for cervical carcinoma. Subsequent biopsies under ultrasound guidance revealed metastatic adenocarcinoma of kidneys originating from the cervical carcinoma. Clinical detection of renal involvement from cervical cancer is extremely rare. There were only seven cases reported in the literature, and three cases were interpreted as abscesses initially. In comparison with these cases, the time between renal metastases and initial detection of cervical carcinoma is the longest in our case.
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Affiliation(s)
- C-M Lin
- Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
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