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. 2017:34:74-76.
doi: 10.1016/j.ijscr.2016.11.059. Epub 2017 Mar 18.

Axillary skin metastasis of renal cell carcinoma-Case report

Cristinel D Badiu  1 , Alexandru Aungurenci  2 , Cristina A Manea  3 , Radu Tomosoiu  4 , Narcis Chirca  4 , Gabriela Rahnea-Nita  5 , Liliana Andronache  6 , Valentin T Grigorean  1 , Victor L Madan  7
Affiliations

Axillary skin metastasis of renal cell carcinoma-Case report

Cristinel D Badiu et al. Int J Surg Case Rep. 2017.

Abstract

Introduction: Metastatic diseases are seen in approximately 25% of all cases with renal cell carcinoma and sometimes they can appear in unusual sites.

Case presentation: We present a 35-year old patient with a painful left axillary mass which causes the functional impairment of the left arm. The axillary mass appeared 2 years after the nephrectomy performed for a left renal cell carcinoma. Numerous metastases have been identified through CT scans during the postoperative evolution of the disease for which the patient underwent adjuvant therapy with tyrosine-kinase inhibitors.

Discussions: Particular to our case is not just the rare metastatic site but also the fact that the tumor appeared despite the adjuvant therapy with tyrosine-kinase inhibitors. Unfortunately, the prognosis of metastatic RCC with skin metastasis is in most cases unfavorable.

Conclusions: We believe that our case could add more information to subsequent measures, complete the frame of rare oncologic cases and consolidate the data published on the topic so far.

Keywords: Axillary metastasis; Kinase inhibitors; Radical nephrectomy; Renal cell carcinoma.

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Figures

Fig. 1
Fig. 1
Axillary metastasis – macroscopic inspection.
Fig. 2
Fig. 2
Axillary metastasis – ultrasound.
Fig. 3
Fig. 3
Left renal cell carcinoma – microscopy.
Fig. 4
Fig. 4
Axillary metastasis – microscopy.
See this image and copyright information in PMC

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