Metastatic deposits from a previously treated carcinoma of the lung presenting as a renal cell carcinoma.
Two patients are presented who had each previously undergone resection of a primary lung carcinoma. They later developed the classical triad of loin pain, haematuria and an abdominal mass suggestive of a primary renal tumour. Investigations, including intravenous urography, ultrasound and renal arteriography, supported the diagnosis. However, at operation both patients had para-aortic lymph node metastases from the lung carcinoma surrounding the renal pedicle and invading the renal parenchyma. It is suggested that further investigations might allow pre-operative diagnosis and thus avoid the need for surgery in such patients.
M J
MJ
Bailey
J E
JE
Williams
P R
PR
Riddle
D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology / Q000556:secondary*; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000175:diagnosis*; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000473:pathology / Q000556:secondary*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary*; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011859:Radiography