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KMID : 0371320030640010080
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Journal of the Korean Surgical Society
2003 Volume.64 No. 1 p.80 ~ p.83
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Esophageal Cancer Metastasis to the Kidney
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Hur Hoon
Kim Wook
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Abstract
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We report a case of 54-year-old man who presented with a right renal tumor secondary to an esophageal cancer, which was detected during a periodic follow-up computerized tomographic examination. In December 2000, the patient underwent a transhiatal esophagectomy with a cervical esophagogastrostomy and a histological examination showed an infiltrative squamous carcinoma (T3N1M0, stage Ⅲ). The patient was treated with 6 cycles of adjuvant chemotherapy with 5-FU (500 ㎎/㎡) and cisplatinum (40 ㎎/㎡). Subsequently, a follow-up study revealed no evidence of recurrence until December 2001. In June 2002, he attended a follow-up examination and complained of general weakness and a 3 ㎏ weight loss over a month. CT scan detected a hypodense space occupying lesion in the inferior pole of the right kidney and enlarged aortocaval lymph nodes below the right renal vein. Intravenous pyelography showed a phantom calyx in the inferior pole after a contrast infusion. The cystoscopic examination was negative. He underwent a right nephrectomy and a periaortic lymph node dissection under the impression of a metachronous transitional cell carcinoma. However, a histological examination revealed that the tumor was a metastatic squamous carcinoma with lymph nodes involvement from the previous esophageal squamous carcinoma.
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KEYWORD
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Kidney tumor, Esophageal cancer, Metastasis
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