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Unusual solitary metastasis of the ciliary body in renal cell carcinoma
Author(s) -
Mancini Vito,
Battaglia Michele,
Lucarelli Giuseppe,
Di Lorenzo Vito,
Ditonno Pasquale,
Bettocchi Carlo,
Selvaggi Francesco Paolo
Publication year - 2008
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2008.02004.x
Subject(s) - medicine , renal cell carcinoma , enucleation , nephrectomy , metastasis , fundus (uterus) , ciliary body , radiology , carcinoma , pathology , surgery , kidney , cancer
Renal cell carcinoma (RCC) usually metastasizes to the lung, liver, bone; ocular metastasis is uncommon. We describe a rare case of metachronous ciliary RCC metastasis in a 42‐year‐old man who had undergone left radical nephrectomy for conventional RCC (pT3aN0M0, G2 Fuhrman) 6 years earlier. Solitary metastasis of the left eye presented with inflammatory symptoms, but examination of the fundus and bulbar ultrasound revealed a small mass of the ciliary body. Initial radiotherapy was unsuccessful and definitive treatment consisted of ocular enucleation with radical result and no further evidence of local and distant disease. Ocular metastasis of RCC is rare, can appear years after treating the primary tumor and should not be excluded in RCC follow‐up. As for other RCC solitary metastasis, the best option remains the radical surgical approach.