Open AccessPrimitive neuroectodermal tumour of the kidney presenting as diplopia secondary to skull metastasis
Author(s) -
Shanmugasundaram Rajaian,
Pragatheeswarane Murugavaithianathan,
Karrthik Krishnamurthy,
Srinivas Chakravarthy Narasimhachar
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-230827
Subject(s) - medicine , diplopia , nephrectomy , skull , metastasis , radiology , magnetic resonance imaging , kidney , biopsy , positron emission tomography , primitive neuroectodermal tumor , surgery , chemotherapy , cancer
A 20-year-old man presented to the department of neurology with diplopia, occipital headache and right flank pain for 1-week duration. CT of the brain revealed skull metastasis with heterogeneously enhancing dural-based mass lesion at the occipital region. Positron emission tomography revealed tracer avid soft tissue mass involving the upper pole of the right kidney with loss of fat planes with the inferior surface of the liver. Multidisciplinary team approach was discussed. He underwent palliative nephrectomy with lymph nodal mass excision. Biopsy from the renal mass was suggestive of primitive neuroectodermal tumour. He developed progressive liver metastases in spite of adjuvant chemotherapy denoting very aggressive disease.