[Metastasis of thyroid carcinoma. A rare case of secondary renal tumor].
Secondary tumours of the kidney are becoming an increasingly frequent pathology due to the accurate follow-up and longer survival of cancer patients. The paper reports a rare case of renal metastasis from a thyroid carcinoma, which started as a Hürthle cell adenoma and was transformed into a carcinoma with a follicular appearance after 26 years. The suspicion of a secondary site was based on the high serum levels of HTG (human thyroglobulin); metastasis was identified following scintigraphic tests using a dual marker (99mTC, 201TL) and renal scintigraphy with 123I Hippuran. The definitive diagnosis was obtained following histological tests; conservative surgery was performed to treat the metastasis (tumorectomy with removal of healthy pericapsular tissue).
Marino
G
G
Divisione di Urologia, Ospedale Mauriziano Umberto I, Torino.
Cocimano
V
V
Taraglio
S
S
Testori
O
O
D000230:Adenocarcinoma / Q000097:blood / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D000236:Adenoma / Q000473:pathology* / Q000601:surgery; D014408:Biomarkers, Tumor / Q000097:blood; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000556:secondary; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000097:blood / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D008875:Middle Aged; D037981:Neck Dissection; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D009378:Neoplasms, Multiple Primary; D009392:Nephrectomy; D011877:Radionuclide Imaging; D013249:Sternum / Q000000981:diagnostic imaging; D013954:Thyroglobulin / Q000097:blood; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000601:surgery; D013965:Thyroidectomy
D014408:Biomarkers, Tumor; D013954:Thyroglobulin
Metastasi da carcinoma tiroideo. Un raro caso di tumore secondario del rene.