title: [Renal cell carcinoma with late lung and ocular metastases].
abstract: OBJECTIVE
  We report one case of ocular and lung metastases seven years after radical nephrectomy for renal cell carcinoma.
  
  
  METHODS
  The case of a 45-year-old male patient who underwent radical nephrectomy for a localized renal cell carcinoma (T2N0M0) in 1995 was found in a review of malignant renal neoplastic pathology.
  
  
  RESULTS
  Seven years later he presented with a lung metastasis requiring neumonectomy, and an ocular metastasis requiring enucleation. He is currently receiving systemic treatment with interferon and interleukin.
  
  
  CONCLUSIONS
  Clinical presentation and evolution of metastasic renal carcinoma is very variable, a difference with other neoplasias. Ocular localization is exceptional and may appear long time after primary tumor; clinically, it may be asymptomatic or present with sudden sight loss. MRI, CT scan and retinal examination are the diagnostic methods employed, and treatment may be surgery, brachytherapy or radiotherapy depending on location and size of the lesion.
authors.affiliation: Servicio de Urologia, Hospital Central de Asturias, Oviedo, Asturias, España. oscar.rodriguez@sespa.princast.es
authors.forename: Oscar
authors.initials: O
authors.lastname: Rodríguez Faba
authors.forename: Francisco
authors.initials: F
authors.lastname: Martínez Gómez
authors.forename: Luis
authors.initials: L
authors.lastname: Parra Muntaner
authors.forename: José Luis
authors.initials: JL
authors.lastname: Martín Benito
authors.forename: Jorge
authors.initials: J
authors.lastname: García Rodríguez
authors.forename: Antonio
authors.initials: A
authors.lastname: Jalón Monzón
authors.forename: Javier
authors.initials: J
authors.lastname: Regadera Sejas
mesh_terms: D002292:Carcinoma, Renal Cell / Q000556:secondary*; D005134:Eye Neoplasms / Q000556:secondary*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008175:Lung Neoplasms / Q000556:secondary*; D008297:Male; D008875:Middle Aged; D013997:Time Factors
vernacular_title: Carcinoma de células renales con metástasis pulmonar y ocular tardías.