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Late metastasis from renal cell carcinoma to the thyroid and nasal cavity: report of a case.

Authors
  • Roux, A
  • Alzharani, A M
  • Rousselot, C
  • Beutter, P
  • Bakhos, D
Type
Published Article
Journal
Revue de laryngologie - otologie - rhinologie
Publication Date
Jan 01, 2013
Volume
134
Issue
2
Pages
101–103
Identifiers
PMID: 24683820
Source
Medline
License
Unknown

Abstract

Multifocal cervico-facial metastases are very rare. Medical history of the patient and clinical context make easier the diagnosis. A 54-year-old woman presenting with a nasal obstruction, was referred to our department. She had a past medical history of an operated renal cancer 12 years ago and a right hemithyroidectomy 30 years ago. Clinical examination revealed a polypoid lesion obstructing the right nasal cavity and a thyroid goiter. Fine-needle aspiration was positive for a renal metastasis. Computed tomography confirmed the nasal lesion without bone destruction and a cervical cystic lesion into the left thyroid lobe. Completion thyroidectomy and polyp excision were performed. The final histologic examination revealed a metastasis from a renal cancer. The association of intra-thyroid and nasal cavity metastases is uncommon and not related in the literature, the practitioner must suspect the diagnosis if the patient had a thyroid tumor, a suspicious nasal lesion and a past history of cancer. The surgical management is recommended for isolated metastasis to the nasal cavity and the thyroid gland especially in renal cancer.

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