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KMID : 0882420130840020245
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Korean Journal of Medicine
2013 Volume.84 No. 2 p.245 ~ p.248
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Late Presentation of Metastatic Renal Cell Carcinoma as a Bleeding Duodenal Mass
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Seo Jae-Won
Kang Eun-Mi
Kim Sung-Hoon
Jang Ji-Sun
Bang Jei-So
Yang Soo-Hyun
Park Yang-Soon
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Abstract
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Gastrointestinal metastasis of a renal cell carcinoma is very rare, and the clinical course of the disease ranges from months to several decades. We experienced a case of solitary duodenal metastasis about 22 years after a right nephrectomy for clear-cell type renal cell carcinoma in a 77-year-old man who complained of melena. This case is the longest reported time interval between surgical nephrectomy to presentation with a duodenal metastasis. Patients usually present with recurrence within a year after radical nephrectomy but can present after many years, warranting lifelong surveillance.
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KEYWORD
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Carcinoma, Renal cell, Duodenum, Neoplasm metastasis
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