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Cutaneous metastatic renal cell carcinoma to the scalp

Renal cell carcinoma (RCC) represents 2% to 3% of human cancers and is aggressive, with metastatic capability. The frequent metastatic sites are lung, bone, and liver. Reports of RCC metastatic to skin, and especially scalp are rare. Here we present an 83-year-old woman who was diagnosed with RCC 19...

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Autores principales: Yang, Hyee Jae, Kang, Sang Yoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Cleft Palate-Craniofacial Association 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949499/
https://www.ncbi.nlm.nih.gov/pubmed/31914495
http://dx.doi.org/10.7181/acfs.2019.00206
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author Yang, Hyee Jae
Kang, Sang Yoon
author_facet Yang, Hyee Jae
Kang, Sang Yoon
author_sort Yang, Hyee Jae
collection PubMed
description Renal cell carcinoma (RCC) represents 2% to 3% of human cancers and is aggressive, with metastatic capability. The frequent metastatic sites are lung, bone, and liver. Reports of RCC metastatic to skin, and especially scalp are rare. Here we present an 83-year-old woman who was diagnosed with RCC 19 years prior and had a metastatic scalp lesion. An 83-year-old woman presented with a red-to-purple, protruding lesion at the right parietotemporal area. Twenty-three years ago, a right renal mass was incidentally discovered on ultrasound through a routine medical examination. She underwent right nephrectomy for RCC 4 years later. Five months after nephrectomy, new lung nodules were observed. Fifteen years after nephrectomy, metastatic lesions were found in the pelvic bone. She visited dermatology department for evaluation of the new scalp lesion, a year before she first visited our department. Despite chemotherapy, the mass was gradually enlarged. She consulted the plastic surgery department for management of the metastatic RCC was successfully treated with total excision including a 1-cm safety margin, local flap, and STSG coverage. Complete healing was observed, without evidence of recurrence during a 7-month followup. Metastases to the skin are rare, but must be kept in mind because of its high metastatic ability and poor prognosis.
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spelling pubmed-69494992020-01-16 Cutaneous metastatic renal cell carcinoma to the scalp Yang, Hyee Jae Kang, Sang Yoon Arch Craniofac Surg Case Report Renal cell carcinoma (RCC) represents 2% to 3% of human cancers and is aggressive, with metastatic capability. The frequent metastatic sites are lung, bone, and liver. Reports of RCC metastatic to skin, and especially scalp are rare. Here we present an 83-year-old woman who was diagnosed with RCC 19 years prior and had a metastatic scalp lesion. An 83-year-old woman presented with a red-to-purple, protruding lesion at the right parietotemporal area. Twenty-three years ago, a right renal mass was incidentally discovered on ultrasound through a routine medical examination. She underwent right nephrectomy for RCC 4 years later. Five months after nephrectomy, new lung nodules were observed. Fifteen years after nephrectomy, metastatic lesions were found in the pelvic bone. She visited dermatology department for evaluation of the new scalp lesion, a year before she first visited our department. Despite chemotherapy, the mass was gradually enlarged. She consulted the plastic surgery department for management of the metastatic RCC was successfully treated with total excision including a 1-cm safety margin, local flap, and STSG coverage. Complete healing was observed, without evidence of recurrence during a 7-month followup. Metastases to the skin are rare, but must be kept in mind because of its high metastatic ability and poor prognosis. Korean Cleft Palate-Craniofacial Association 2019-12 2019-12-20 /pmc/articles/PMC6949499/ /pubmed/31914495 http://dx.doi.org/10.7181/acfs.2019.00206 Text en Copyright © 2019 The Korean Cleft Palate-Craniofacial Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Yang, Hyee Jae
Kang, Sang Yoon
Cutaneous metastatic renal cell carcinoma to the scalp
title Cutaneous metastatic renal cell carcinoma to the scalp
title_full Cutaneous metastatic renal cell carcinoma to the scalp
title_fullStr Cutaneous metastatic renal cell carcinoma to the scalp
title_full_unstemmed Cutaneous metastatic renal cell carcinoma to the scalp
title_short Cutaneous metastatic renal cell carcinoma to the scalp
title_sort cutaneous metastatic renal cell carcinoma to the scalp
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949499/
https://www.ncbi.nlm.nih.gov/pubmed/31914495
http://dx.doi.org/10.7181/acfs.2019.00206
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