Unusual site for metastatic renal cell carcinoma – A case report

Aleksandra Fejsa Levakov; Jelena Amidžić; Jelena Ilić Sabo; Tanja Lakić; Saša Vojinov; Dragan  Grbić

doi:10.2298/VSP180126057F

Aleksandra Fejsa Levakov Clinical Center of Vojvodina, Center for Pathology and Histology, Novi Sad, Serbia
Jelena Amidžić Clinical Center of Vojvodina, Center for Pathology and Histology, Novi Sad, Serbia
Jelena Ilić Sabo Clinical Center of Vojvodina, Center for Pathology and Histology, Novi Sad, Serbia
Tanja Lakić Clinical Center of Vojvodina, Center for Pathology and Histology, Novi Sad, Serbia
Saša Vojinov University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Dragan Grbić Clinical Center of Vojvodina, Urology Clinic, Novi Sad, Serbia

DOI: https://doi.org/10.2298/VSP180126057F

Keywords: carcinoma, renal cell, neoplasm metastasis, diagnosis, treatment outcome

Abstract

Introduction. The most common malignant tumor of the
kidney is renal cell carcinoma (> 90%). The metastasis of
the renal cell carcinoma in lingual base is very rare. Case
report. Patient, 74 years old, renal cell carcinoma underwent
radical nephrectomy with evacuation of regional lymph
nodes and without any further therapy. After two years of
disease-free period, patient appeared with the symptom of
difficult swallowing. Ultrasound showed tumor spreading in
number of organs. Histopathological analysis of tissue from
lingual base confirmed metastatic tumor. Conclusion. After
radical surgical treatment of the malignant disease, it is important
to examine multiple organ systems. Appropriate approach
to the diagnostics and evaluation the entire condition
of the patient in this stage of the disease, especially lingual
base can relieve patients discomfort and provide prolonged
survival, even if the prognosis is unfavourable.

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