Metachronous metastases from renal cell carcinoma to uterine cervix and vagina: case report and review of literature |
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| Authors: | Bozaci Elif Aylin Atabekoğlu Cem Sertçelik Ayşe Unlü Cihat Ortaç Firat |
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| Affiliation: | Ankara University Faculty of Medicine, Department of Obstetrics and Gynecology, Gezegen Sokak No: 7/4, Büyükesat/Ankara, Turkey. eclamptic2000@yahoo.com |
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| Abstract: | BACKGROUND: Although renal cell carcinoma (RCC) is characterized with unpredictable clinical presentation, multiple genital tract metastases are still surprising and mode of spread is obscure. CASE: We report a case of RCC metastases to uterine cervix and vagina 1 year after radical nephrectomy in a 19-year-old virgin. To our knowledge, this case is the second youngest patient with RCC metastasis to vagina, and also third patient with RCC metastasis to uterine cervix. CONCLUSION: Detection of genital lesion may precede diagnosis of RCC. The primary renal tumor was mostly left sided. Retrograde venous extension seems to be the most plausible mode of spread. Limited total experience and variability in therapeutic approach prevent generalizations regarding prognosis, optimal treatment and survival. |
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