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Case Reports
. 2022 Mar 7;14(3):e22914.
doi: 10.7759/cureus.22914. eCollection 2022 Mar.

A Rare Case of Splenic and Pulmonary Metastases From Renal Cell Carcinoma

Kathie Wu  1 , Delnaz Bakht  2 , Priyanka Pathak  2 , Nadia Ramdin  2
Affiliations
Case Reports

A Rare Case of Splenic and Pulmonary Metastases From Renal Cell Carcinoma

Kathie Wu et al. Cureus. .

Abstract

Renal cell carcinoma commonly spreads to the lungs, bones, and liver, but splenic involvement has been rare. When metastasis does occur, patients are usually asymptomatic but may present with weight loss, fatigue, or abdominal pain. We present a case of a patient who had known renal cell cancer status post-total nephrectomy who, due to COVID, had delayed surveillance scans and was found to have a recurrent mass in the nephrectomy bed with splenic and pulmonary metastasis.

Keywords: covid-19; nephrectomy; pulmonary metastasis; renal cell carcinoma; splenic metastasis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. (A) Mass in the left nephrectomy bed with invasion into the splenic vasculature. (B) Presence of metastatic disease to the lungs.
CT of the chest, abdomen, and pelvis with contrast demonstrating metastatic spread of renal cell carcinoma into the left nephrectomy bed and splenic vasculature and spread into the lungs.
See this image and copyright information in PMC

References

    1. Surveillance strategies for renal cell carcinoma patients following nephrectomy. Chin AI, Lam JS, Figlin RA, Belldegrun AS. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1471767/ Rev Urol. 2006;8:1–7. - PMC - PubMed
    1. Renal cell carcinoma with unusual metachronous metastasis up to 22 years after nephrectomy: two case reports. Bruckschen F, Gerharz CD, Sagir A. https://doi.org/10.1186/s13256-021-03098-5. J Med Case Rep. 2021;15:490. - PMC - PubMed
    1. National Comprehensive Cancer Network - Home. [ Feb; 2022 ];https://www.nccn.org/professionals/physician_gls/pdf/kidney.pdf 2022
    1. Isolated splenic metastases from renal cell carcinoma 11 years after surgery. Dos Santos Romao D, Horvat N, Castro Gonçalves M, Shigueaki Abe E, Blanco Dumarco R, Cesar Cavalcante Viana P, Machado MC. Case Rep Med. 2019;2019:7480479. - PMC - PubMed
    1. A case of metachronous splenic metastasis from renal cell carcinoma after 14 years. Ielpo B, Mazzetti C, Venditti D, Buonomo O, Petrella G. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180665/ Int J Surg. 2010;8:353–355. - PubMed

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