Metachronous renal cell carcinoma with metastasis to the urinary bladder, and distant organs, 28 years after radical nephrectomy: A case report Journal Article


Authors: Babar, M.; Hamdani, S.; Liu, C.; Vedula, J.; Schnapp, D. S.
Article Title: Metachronous renal cell carcinoma with metastasis to the urinary bladder, and distant organs, 28 years after radical nephrectomy: A case report
Abstract: Background: Metachronous renal cell carcinoma after radical nephrectomy is extremely rare. Renal cell carcinoma commonly metastasizes to distant organs. However, metastasis to the urinary bladder is very uncommon. Case presentation: Herein, we report a case of metachronous renal cell carcinoma with metastasis to the urinary bladder, left acetabulum, left rib, lungs, thyroid, right renal vein and inferior vena cava. The patient had undergone a left-sided radical nephrectomy 28 years ago. The pathological diagnosis of a fragment of the bladder tumor was consistent with Fuhrman grade 2 clear cell renal cell carcinoma. Conclusions: Although metachronous renal cell carcinoma after radical nephrectomy is rare, active surveillance should be still considered. Renal cell carcinoma has shown to unusually metastasize to the urinary bladder, a rarely reported organ of metastasis. Treatment options, such as immunotherapy, are available to patients with such metastasis and long-term survivorship can be achieved. © 2019 The Author(s).
Keywords: cancer chemotherapy; clinical article; human tissue; aged; case report; sunitinib; bone metastasis; nuclear magnetic resonance imaging; computer assisted tomography; renal cell carcinoma; hematuria; nephrectomy; distant metastasis; lung metastasis; radical nephrectomy; fluorodeoxyglucose f 18; cystectomy; drug dose increase; inferior cava vein; urine retention; kidney vein; tumor necrosis; bladder metastasis; thyroid metastasis; rib; acetabulum; nivolumab; transurethral resection of the bladder; human; male; article; positron emission tomography-computed tomography; bladder distension
Journal Title: BMC Urology
Volume: 19
Issue: 1
ISSN: 1471-2490
Publisher: Biomed Central Ltd  
Date Published: 2019-01-01
Start Page: 136
Language: English
DOI: 10.1186/s12894-019-0521-1
PUBMED: 31881880
PROVIDER: scopus
PMCID: PMC6935093
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Corinne Liu
    8 Liu