Open AccessRenal mucinous tubular and spindle cell carcinoma with an aorto-caval mass mimicking metastatic lymphadenopathy
Author(s) -
Chien-Chang Li,
Chen-Hui Lee,
YeeJee Jan,
KunYuan Chiu,
ChenLi Cheng,
ChiRei Yang,
YenChuan Ou,
HaoChung Ho,
SiuWan Hung,
JianRi Li
Publication year - 2012
Publication title -
journal of the chinese medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.535
H-Index - 42
eISSN - 1728-7731
pISSN - 1726-4901
DOI - 10.1016/j.jcma.2012.03.006
Subject(s) - medicine , nephrectomy , renal cell carcinoma , retroperitoneal lymph node dissection , clear cell carcinoma , lymph node , metastasis , radiology , dissection (medical) , renal mass , retroperitoneal space , pathology , carcinoma , kidney , cancer , chemotherapy , surgery , testicular cancer
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.
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