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Multiple metastases of clear-cell renal cell carcinoma to different region of the nasal cavity and paranasal sinus 3 times successively: A case report and literature review.

Abstract Distant metastasis of clear-cell renal cell carcinoma (ccRCC) to the nasal cavity and paranasal sinus is rare. Endoscopic biopsy used to be performed for diagnosis when it is difficult for complete resection due to intense bleeding during surgery. According to previous literature, the outcomes of metastasis after endoscopic surgery remain unclear.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29620646
OWN - NLM
STAT- MEDLINE
DCOM- 20180416
LR  - 20180416
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 14
DP  - 2018 Apr
TI  - Multiple metastases of clear-cell renal cell carcinoma to different region of the
      nasal cavity and paranasal sinus 3 times successively: A case report and
      literature review.
PG  - e0286
LID - 10.1097/MD.0000000000010286 [doi]
AB  - RATIONALE: Distant metastasis of clear-cell renal cell carcinoma (ccRCC) to the
      nasal cavity and paranasal sinus is rare. Endoscopic biopsy used to be performed 
      for diagnosis when it is difficult for complete resection due to intense bleeding
      during surgery. According to previous literature, the outcomes of metastasis
      after endoscopic surgery remain unclear. PATIENT CONCERNS: A 62-year-old man with
      a history of epistaxis was referred to our institution. The clinical, computed
      tomography (CT) and magnetic resonance imaging (MRI) examination indicate
      metastasis to sinonasal sinuses.Diagnoses: He was histopathologically diagnosed
      with different anatomical structures of nasal cavity and paranasal sinus
      metastases 6, 14, and 15 years after the initial nephrectomy for ccRCC.
      INTERVENTIONS: He underwent endoscopic surgery 3 times, once at the time of each 
      metastasis. OUTCOMES: He survived for 20 years despite of multitransfers and died
      due to multiple organ failure. LESSONS: Metastasis of ccRCC to the nasal cavity
      and paranasal sinus is characterized by varied growth rates, metastatic times and
      spreading patterns; ccRCC metastasis should be considered with the presence of
      hemorrhagic lesions in the nasal cavity and paranasal sinus. Endoscopic surgery
      is the first-line treatment.
FAU - Zhang, Na
AU  - Zhang N
AD  - Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital,
      Capital Medical University.
AD  - Department of Otolaryngology-Head and Neck Surgery, Qinhuangdao First Hospital,
      Hebei Medical University, China.
FAU - Zhou, Bing
AU  - Zhou B
AD  - Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital,
      Capital Medical University.
FAU - Huang, Qian
AU  - Huang Q
AD  - Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital,
      Capital Medical University.
FAU - Chen, Xiaohong
AU  - Chen X
AD  - Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital,
      Capital Medical University.
FAU - Cui, Shunjiu
AU  - Cui S
AD  - Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital,
      Capital Medical University.
FAU - Huang, Zhenxiao
AU  - Huang Z
AD  - Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital,
      Capital Medical University.
FAU - Sun, Yan
AU  - Sun Y
AD  - Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital,
      Capital Medical University.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Carcinoma, Renal Cell/diagnostic imaging/*secondary
MH  - Humans
MH  - Kidney Neoplasms/*pathology
MH  - Male
MH  - Middle Aged
MH  - Nasal Cavity/diagnostic imaging/pathology
MH  - Nose Neoplasms/*secondary
MH  - Paranasal Sinus Neoplasms/diagnostic imaging/*secondary
MH  - Paranasal Sinuses/diagnostic imaging
EDAT- 2018/04/06 06:00
MHDA- 2018/04/17 06:00
CRDT- 2018/04/06 06:00
PHST- 2018/04/06 06:00 [entrez]
PHST- 2018/04/06 06:00 [pubmed]
PHST- 2018/04/17 06:00 [medline]
AID - 10.1097/MD.0000000000010286 [doi]
AID - 00005792-201804060-00024 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Apr;97(14):e0286. doi: 10.1097/MD.0000000000010286.