title: Late metastasis from renal cell carcinoma to the thyroid and nasal cavity: report of a case.
abstract: Multifocal cervico-facial metastases are very rare. Medical history of the patient and clinical context make easier the diagnosis. A 54-year-old woman presenting with a nasal obstruction, was referred to our department. She had a past medical history of an operated renal cancer 12 years ago and a right hemithyroidectomy 30 years ago. Clinical examination revealed a polypoid lesion obstructing the right nasal cavity and a thyroid goiter. Fine-needle aspiration was positive for a renal metastasis. Computed tomography confirmed the nasal lesion without bone destruction and a cervical cystic lesion into the left thyroid lobe. Completion thyroidectomy and polyp excision were performed. The final histologic examination revealed a metastasis from a renal cancer. The association of intra-thyroid and nasal cavity metastases is uncommon and not related in the literature, the practitioner must suspect the diagnosis if the patient had a thyroid tumor, a suspicious nasal lesion and a past history of cancer. The surgical management is recommended for isolated metastasis to the nasal cavity and the thyroid gland especially in renal cancer.
authors.forename: A
authors.initials: A
authors.lastname: Roux
authors.forename: A M
authors.initials: AM
authors.lastname: Alzharani
authors.forename: C
authors.initials: C
authors.lastname: Rousselot
authors.forename: P
authors.initials: P
authors.lastname: Beutter
authors.forename: D
authors.initials: D
authors.lastname: Bakhos
mesh_terms: D044963:Biopsy, Fine-Needle; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D003937:Diagnosis, Differential; D004724:Endoscopy; D004844:Epistaxis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D008875:Middle Aged; D009296:Nasal Cavity / Q000473:pathology / Q000601:surgery; D015508:Nasal Obstruction / Q000209:etiology; D009669:Nose Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D013961:Thyroid Gland / Q000473:pathology; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D013965:Thyroidectomy; D014057:Tomography, X-Ray Computed