Renal mucinous tubular and spindle cell carcinoma with an aorto-caval mass mimicking metastatic lymphadenopathy.
A 54-year-old female had a 9-cm left renal mass with a 12-cm aorto-caval mass lesion mimicking an enlarged lymph node. Retroperitoneal dissection and left radical nephrectomy were performed, and pathology revealed a left renal mucinous tubular and spindle cell carcinoma combined with a retroperitoneal ganglioneuroma. The patient has had no local recurrence or distant metastasis after 3 years' follow-up. A misdiagnosis of metastatic renal cell carcinoma may be upheld by the primary imaging studies. Even in the targeted therapy era, cytoreductive nephrectomy is still an important step in the diagnosis and treatment of suspicious metastatic renal cell carcinomas.
Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.
Chien-Chang
CC
Li
Chen-Hui
CH
Lee
Yee-Jee
YJ
Jan
Kun-Yuan
KY
Chiu
Chen-Li
CL
Cheng
Chi-Rei
CR
Yang
Yen-Chuan
YC
Ou
Hao-Chung
HC
Ho
Siu-Wan
SW
Hung
Jian-Ri
JR
Li
D002277:Carcinoma / Q000473:pathology* / Q000601:surgery; D002292:Carcinoma, Renal Cell / Q000473:pathology* / Q000556:secondary / Q000601:surgery; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D008206:Lymphatic Diseases / Q000473:pathology*; D008207:Lymphatic Metastasis; D008875:Middle Aged