title: Calvarial metastasis of renal cell carcinoma.
abstract: The calvarium is an extremely unusual site of metastasis of renal cell carcinoma. We report a 62-year-old man who was enrolled for palliative medical management for an exophytic calvarial metastasis. His quality of life was greatly compromised with everyday local care and bandages due to recurrent events of infection and bleeding, limiting his social life. Surgical palliative surgery was carried out to improve the patient's quality of life. After tumour resection, the resultant defects of the calvarium and the scalp were covered by a muscular latissimus dorsi free flap and a fascia lata graft as dural substitute. There was no evidence of local recurrence or distant metastasis during the 3 years follow-up. Consequently, resection of solitary metastasis in the early stage is the treatment of choice with a chance to cure the metastasis and avoid associated morbidity that may occur if the lesion is left untreated.
authors.affiliation: Service de Chirurgie Plastique, Reconstructrice et Esthétique, Hôpital Européen Georges Pompidou, Université Paris-Descartes, Paris, France.
authors.forename: Tabrez
authors.initials: T
authors.lastname: Suffee
authors.affiliation: Service de Chirurgie Plastique, Reconstructrice et Esthétique, Hôpital Européen Georges Pompidou, Université Paris-Descartes, Paris, France.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Derder
authors.affiliation: Service de Chirurgie Plastique, Reconstructrice et Esthétique, Hôpital Robert Ballanger, Boulevard Robert Ballanger, Aulnay-sous-Bois, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Quilichini
authors.affiliation: Service de Neurochirurgie, Hôpital Sainte-Anne, Paris, France.
authors.forename: Edouard
authors.initials: E
authors.lastname: Dezamis
authors.affiliation: Service de Chirurgie Plastique, Reconstructrice et Esthétique, Hôpital Européen Georges Pompidou, Université Paris-Descartes, Paris, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Lantieri
mesh_terms: D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D012888:Skull Neoplasms / Q000556:secondary* / Q000601:surgery*
keywords: calvarium; flap; renal cell carcinoma