[Renal cell carcinoma with late lung and ocular metastases].
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.
Rodríguez Faba
Oscar
O
Servicio de Urologia, Hospital Central de Asturias, Oviedo, Asturias, España. oscar.rodriguez@sespa.princast.es
Martínez Gómez
Francisco
F
Parra Muntaner
Luis
L
Martín Benito
José Luis
JL
García Rodríguez
Jorge
J
Jalón Monzón
Antonio
A
Regadera Sejas
Javier
J
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
Carcinoma de células renales con metástasis pulmonar y ocular tardías.