A LONG SURVIVED PATIENT WITH RENAL CELL CARCINOMA UNDERGOING RESECTION OF METASTATIC LESIONS IN THE CERBELLUM AND LUNG AFTER NEPHRECTOMY

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  • 腎摘出術後,小脳および肺転移巣切除を受けた腎細胞癌の長期生存例

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Abstract

We experienced a case of renal cell carcinoma metastasizing to the cerebellum and lung after a 9-year interval which were successfully resected. The case was a 69-year-old man. There was a Previoushistory of undergoing a right nephrectomy for a renal cell carcinoma in 1991. In October, 1984, an ocipital pain appeared and a mass lesion was revealed in the cerebellum on CT scan which was excised in January, 1985. Histologically the lesion was diagnosed wit metastasis of renal cell carcinoma. Radiotherapy and chemotherapy were added after the operation.<br> Two mass lesions were found in his right lung on chest X-ray and chest CT scanning in October, 1993, and were diagnosed as metastases of renal cell carcinoma by needle biopsy. He underwent partial resection of the right lung (S3, S6) in December, 1993.<br> Lung metastasis is most common in renal cell carcinomas. Cerebellar metastasis wihtout pulmonary metastasis is very rare, and no such case as lung metastasis is removed after resection of cerebellar metastasis had been reported in the Japanse literature so far. In our case, metastatic route and clinical course are very interesting. We hope our case can contribute to consider treatment of metastatic lesion of renal cell carcinoma.

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