File
Authors
Shoji, Fumi Division of Otolaryngology, Tohoku Medical and Pharmaceutical University
Ohta, Nobuo Division of Otolaryngology, Tohoku Medical and Pharmaceutical University
Murakami, Kazuhiro Division of Pathology, Tohoku Medical and Pharmaceutical University
Noguchi, Naoya Division of Otolaryngology, Tohoku Medical and Pharmaceutical University
Suzuki, Takahiro Division of Otolaryngology, Tohoku Medical and Pharmaceutical University
Saito, Yutaro Division of Otolaryngology, Tohoku Medical and Pharmaceutical University
Kitaya, Shiori Division of Otolaryngology, Tohoku Medical and Pharmaceutical University
Tateda, Yutaka Division of Otolaryngology, Tohoku Medical and Pharmaceutical University
Yamazaki, Muneharu Division of Otolaryngology, Tohoku Medical and Pharmaceutical University
Kusano, Yusuke Division of Otolaryngology, Tohoku Medical and Pharmaceutical University
Nakazumi, Miho Division of Otolaryngology, Tohoku Medical and Pharmaceutical University
Ishida, Yusuke Division of Anatomy and Cell Biology, Tohoku Medical and Pharmaceutical University
Ise, Kazue Division of Pathology, Tohoku Medical and Pharmaceutical University
Kagaya, Yuriko Division of Radiology, Tohoku Medical and Pharmaceutical University
Tamura, Ryo Division of Radiology, Tohoku Medical and Pharmaceutical University
Murakami, Keigo Division of Pathology, Tohoku Medical and Pharmaceutical University
Nakamura, Yasuhiro Division of Pathology, Tohoku Medical and Pharmaceutical University
Keywords
metastatic renal cell carcinoma
sphenoid sinus
endoscopic surgery
nasal bleeding
Abstract
A 79-year-old Japanese woman presented with a rare case of metastatic renal cell carcinoma to the left sphenoid sinus with left nasal bleeding. She had previously had right radical nephrectomy for renal cell carcinoma at the age of 64 years and brain and spinal cord infarction at 74 years. Endoscopic examination revealed no mass in the nasal cavity. CT and MRI revealed a tumor in the left sphenoid sinus. The size of the tumor increased gradually from 12 to 15 years after the radical nephrectomy. Complete resection with endoscopic surgery was performed without preoperative embolization. The tumor cells had clear cytoplasm and were arranged in a trabecular pattern lined by a layer of endothelial cells. These findings were identical to the pathological findings of the surgical specimen of the renal cell carcinoma from 15 years previous. A pathological diagnosis of metastatic renal cell carcinoma of clear cell type (grade 1) was made. PET-CT demonstrated no metastasis. The patient’s condition was successfully managed with excision of the tumor, and she remains well with no evidence of recurrence and metastasis 36 months after treatment. Metastatic renal cell carcinoma to the sphenoid sinus is rare, but it might be considered in the differential diagnosis of masses in the paranasal sinus even long after initial treatment of renal cancer.
Publisher
Tottori University Medical Press
Content Type
Journal Article
Link
ISSN
0513-5710
EISSN
1346-8049
NCID
AA00892882
Journal Title
Yonago Acta Medica
Current Journal Title
Yonago Acta Medica
Volume
63
Issue
4
Start Page
368
End Page
371
Patient Reports
Published Date
2020-11-24
Publisher-DOI
Text Version
Publisher
Rights
注があるものを除き、この著作物は日本国著作権法により保護されています。 / This work is protected under Japanese Copyright Law unless otherwise noted.
Citation
Shoji Fumi, Ohta Nobuo, Murakami Kazuhiro, et al. Metastatic Renal Cell Carcinoma to the Left Sphenoid Sinus: A Case Report in Light of the Literature. 2020, 63(4). 368-371. doi:10.33160/yam.2020.11.009
Department
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital
Language
English