scholarly journals Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum

1998 ◽  
Vol 12 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Rhonda M Janzen ◽  
Alnoor S Ramj ◽  
Julia DA Flint ◽  
Charles H Scudamore ◽  
Eric M Yoshida

Metastasis of renal cell carcinoma to the ampulla of Vater is a rare occurrence. The outlined case, which presented as an upper gastrointestinal bleed, is only the eighth such reported case in the English-language literature. This case is the longest reported time interval between surgical nephrectomy to presentation with ampullary metastasis at 17.5 years. The ampullary source of bleeding in this case was initially obscure and missed by conventional gastroscopy. Diagnosis was made with a side-viewing endoscope, emphasizing the usefulness of this instrument in the investigation of active bleeding from a small bowel source.

2014 ◽  
Vol 5 (7) ◽  
pp. 378-380 ◽  
Author(s):  
Enyinnaya Ofo ◽  
Rishi Mandavia ◽  
Jean-Pierre Jeannon ◽  
Edward Odell ◽  
Ricard Simo

2001 ◽  
Vol 9 (2) ◽  
pp. 57-61 ◽  
Author(s):  
Kan-Hing Mak ◽  
John Ching-Kwong Kwok

Intradural spinal metastasis is rare. This is the third case ever reported on the finding of intradural spinal metastasis from a renal cell carcinoma that had been removed surgically. The patient had a history of epidural metastasis for which excision and anterior stabilization were done 3 years before the new presentation with cauda equina lesion. Seeding from the involved osseous structure to the cerebrospinal fluid through the dura was believed to be the course that tumour had taken to reach the intradural space.


2008 ◽  
Vol 132 (10) ◽  
pp. 1672-1674
Author(s):  
Seethalakshmi Viswanathan ◽  
Sangeeta B. Desai ◽  
S. R. Prabhu ◽  
Mahul B. Amin

Abstract We describe an extremely rare occurrence of a squamous differentiation in a sarcomatoid chromophobe renal cell carcinoma in a 45-year-old woman with nodal and lung metastasis at presentation. The tumor on histology showed all 3 components intimately admixed with each other, which to the best of our knowledge is the first such case to be reported in the literature. The renal pelvis was smooth walled and uninvolved. Kidney-specific cadherin was positive in the chromophobe renal cell carcinoma areas and negative in the sarcomatoid and squamous areas.


2011 ◽  
Vol 3 (2) ◽  
pp. 93-95 ◽  
Author(s):  
Bulent Citgez ◽  
Mehmet Uludag ◽  
Gurkan Yetkin ◽  
Esin Kabul Gurbulak ◽  
Banu Yılmaz Ozguven ◽  
...  

ABSTRACT Metastases to the thyroid gland are rare. We report the case of a 50-year-old man with an isolated thyroid metastasis from renal cell carcinoma (RCC), 3 years after radical nephrectomy for the primary disease. Although uncommon, if a patient with a previous history of malignancy has a new thyroid mass, it should be considered metastatic tumor of recurrent malignancy until proved otherwise.


Author(s):  
Muhammet Yener AKPINAR ◽  
Metin UZMAN ◽  
Gülçin GÜLER ŞIMŞEK ◽  
Evrim KAHRAMANOĞLU AKSOY ◽  
Ferdane PIRINÇÇI SAPMAZ ◽  
...  

2012 ◽  
Vol 1 (4) ◽  
pp. 230
Author(s):  
VilvapathyS Karthikeyan ◽  
SarathC Sistla ◽  
LalgudiN Dorairajan ◽  
Kaliaperumal Muruganandham ◽  
SheikM Ali ◽  
...  

2020 ◽  
Vol 13 (2) ◽  
pp. 738-741
Author(s):  
Niamh Peters ◽  
Clara Lightner ◽  
John McCaffrey

Approximately 340 patients are diagnosed with renal cell cancer (RCC) in Ireland each year. Metastatic spread to the lung, lymph nodes and bones is common. Metastatic spread to the gastrointestinal tract, including the small bowel, is a rare phenomenon. Therapeutic advances have led to an improved overall survival in RCC and, as a result, unusual sites of metastatic spread are becoming more common. We present the case of a 68-year-old gentleman presenting with upper gastrointestinal bleeding as a result of metastases to the duodenum from renal cell carcinoma.


2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Vamshidhar R. Vootla ◽  
Muhammad Kashif ◽  
Masooma Niazi ◽  
Suresh K. Nayudu

Renal cell carcinoma (RCC) has potential to present with distant metastasis several years after complete resection. The common sites of metastases include the lungs, bones, liver, renal fossa, and brain. RCCs metastasize rarely to the duodenum, and duodenal metastasis presenting with acute gastrointestinal bleed is infrequently reported in literature. We present a case of synchronous presentation of duodenal and azygoesophageal metastasis manifesting as acute upper gastrointestinal bleeding, four years after undergoing nephrectomy for RCC. The patient underwent further workup and was treated with radiation. The synchronous presentation is rare and stresses the importance of searching for recurrence of RCC in patients presenting with acute gastrointestinal bleeding.


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