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Case Reports
. 2011 Sep;4(3):576-82.
doi: 10.1159/000335217. Epub 2011 Dec 7.

Chronic headache as the first symptom of an undiagnosed renal cell carcinoma

Mohammad Kazem Moslemi  1 , Mehdi Abedinzadeh
Affiliations
Case Reports

Chronic headache as the first symptom of an undiagnosed renal cell carcinoma

Mohammad Kazem Moslemi et al. Case Rep Oncol. 2011 Sep.

Abstract

Renal cell carcinoma (RCC) is an uncommon tumor that rarely metastasizes primarily to the brain. Brain metastases are commonly observed in patients with metastatic RCC, with a reported incidence of 2-17%. The prognosis of brain metastatic RCC is poor. In this carcinoma type, the source is commonly evident. We report a case of a patient with undiagnosed incidental RCC, who presented chronic headache as the first manifestation.

Keywords: Brain metastasis; Headache; Immunotherapy; Renal cell carcinoma; Space-occupying lesion.

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Figures

Fig. 1
Fig. 1
On brain MRI (T1, T2), the space-occupying lesion is evident in the left occipital lobe.
Fig. 2
Fig. 2
On brain MRI (T1, T2), the space-occupying lesion is evident in the left occipital lobe.
Fig. 3
Fig. 3
On brain MRI (T1, T2), the space-occupying lesion is evident in the left occipital lobe.
Fig. 4
Fig. 4
Abdominopelvic contrast-enhanced CT scan, revealing the right renal upper pole heterogenous mass.
Fig. 5
Fig. 5
Right radical nephrectomy specimen. A 5 × 6 cm, upper pole mass is evident. No adrenal, Gerota's fascia, and renal vein invasion was seen on histopathological examination.
See this image and copyright information in PMC

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