[Late and multiple endocrine metastases of an adenocarcinoma of the kidney].
Ten years after nephrectomy a renal cell carcinoma of the felt kidney, the patient presented successively pancreatic, adrenal gland, thyroid gland and contralateral renal metastases. Surgical exeresis was performed for the different metastases with a survival period of 7 years. No similar observation (non-necropsic discovery, surgical treatment, prolonged survival) of multiple metastasis of renal cell carcinoma to endocrine glands was found in the literature. The important role of modern imaging techniques are emphasized together with the need for long-term follow-up of operated renal cell cancer since the clinical course can be unpredictable. Long-term remission has been reported and surgical exeresis of metastasis should always be proposed when possible.
Avisse
C
C
Service de Chirurgie Générale et Digestive, CHU de Reims.
Flament
J B
JB
Deville
J
J
Patey
M
M
Brandt
B
B
Marcus
C
C
D000230:Adenocarcinoma / Q000473:pathology* / Q000556:secondary / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D000792:Angiography; D002763:Cholecystectomy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000556:secondary / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D016577:Pancreaticoduodenectomy; D013156:Splenectomy; D013964:Thyroid Neoplasms / Q000556:secondary* / Q000601:surgery; D014057:Tomography, X-Ray Computed
Métastases endocrines multiples et tardives d'un adénocarcinome du rein.