Disseminated Metastatic Renal Cell Carcinoma Manifesting With Recurrent Epistaxis: A Case Report and Comprehensive Literature Review
Renal cell carcinoma is an aggressive malignancy with up to 30% of patients experiencing metastases. The authors report a case of a patient status post right radical nephrectomy with 6 years of clear surveillance scans seeking evaluation of recurrent epistaxis. A friable, hypervascular mass was disc...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/crot/7461155 |
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| author | Andrew J. Rothka David Goldrich Sanica Bhele Johnathan D. McGinn |
| author_facet | Andrew J. Rothka David Goldrich Sanica Bhele Johnathan D. McGinn |
| author_sort | Andrew J. Rothka |
| collection | DOAJ |
| description | Renal cell carcinoma is an aggressive malignancy with up to 30% of patients experiencing metastases. The authors report a case of a patient status post right radical nephrectomy with 6 years of clear surveillance scans seeking evaluation of recurrent epistaxis. A friable, hypervascular mass was discovered on outpatient nasal endoscopy. The mass was surgically removed, and pathology results were consistent with metastatic renal cell carcinoma. Further workup following the operation led to the discovery of disseminated metastases of the malignancy to the scrotum, skin of the back, gluteal musculature, and frontal bones. This unique case of disseminated metastases after many years of negative routine screening demonstrates the importance of interdisciplinary care and routine screenings when managing unforgiving malignancies such as renal cell carcinoma and their insidious manners of metastasis. |
| format | Article |
| id | doaj-art-0c03fb67aa1549c8a712aad7e43a6986 |
| institution | OA Journals |
| issn | 2090-6773 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-0c03fb67aa1549c8a712aad7e43a69862025-08-20T02:07:56ZengWileyCase Reports in Otolaryngology2090-67732025-01-01202510.1155/crot/7461155Disseminated Metastatic Renal Cell Carcinoma Manifesting With Recurrent Epistaxis: A Case Report and Comprehensive Literature ReviewAndrew J. Rothka0David Goldrich1Sanica Bhele2Johnathan D. McGinn3Penn State College of MedicineDepartment of Otolaryngology-Head and Neck SurgeryDepartment of PathologyDepartment of Otolaryngology-Head and Neck SurgeryRenal cell carcinoma is an aggressive malignancy with up to 30% of patients experiencing metastases. The authors report a case of a patient status post right radical nephrectomy with 6 years of clear surveillance scans seeking evaluation of recurrent epistaxis. A friable, hypervascular mass was discovered on outpatient nasal endoscopy. The mass was surgically removed, and pathology results were consistent with metastatic renal cell carcinoma. Further workup following the operation led to the discovery of disseminated metastases of the malignancy to the scrotum, skin of the back, gluteal musculature, and frontal bones. This unique case of disseminated metastases after many years of negative routine screening demonstrates the importance of interdisciplinary care and routine screenings when managing unforgiving malignancies such as renal cell carcinoma and their insidious manners of metastasis.http://dx.doi.org/10.1155/crot/7461155 |
| spellingShingle | Andrew J. Rothka David Goldrich Sanica Bhele Johnathan D. McGinn Disseminated Metastatic Renal Cell Carcinoma Manifesting With Recurrent Epistaxis: A Case Report and Comprehensive Literature Review Case Reports in Otolaryngology |
| title | Disseminated Metastatic Renal Cell Carcinoma Manifesting With Recurrent Epistaxis: A Case Report and Comprehensive Literature Review |
| title_full | Disseminated Metastatic Renal Cell Carcinoma Manifesting With Recurrent Epistaxis: A Case Report and Comprehensive Literature Review |
| title_fullStr | Disseminated Metastatic Renal Cell Carcinoma Manifesting With Recurrent Epistaxis: A Case Report and Comprehensive Literature Review |
| title_full_unstemmed | Disseminated Metastatic Renal Cell Carcinoma Manifesting With Recurrent Epistaxis: A Case Report and Comprehensive Literature Review |
| title_short | Disseminated Metastatic Renal Cell Carcinoma Manifesting With Recurrent Epistaxis: A Case Report and Comprehensive Literature Review |
| title_sort | disseminated metastatic renal cell carcinoma manifesting with recurrent epistaxis a case report and comprehensive literature review |
| url | http://dx.doi.org/10.1155/crot/7461155 |
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