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Unusual site for metastatic renal cell carcinoma - a case report

Fejsa-Levakov Aleksandra (Clinical Center of Vojvodina, Center for Pathology and Histology, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia)
Amidžić Jelena (Clinical Center of Vojvodina, Center for Pathology and Histology, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia)
Ilić-Sabo Jelena (Clinical Center of Vojvodina, Center for Pathology and Histology, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia)
Lakić Tanja (Clinical Center of Vojvodina, Center for Pathology and Histology, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia)
Vojinov Saša (University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia + Clinical Center of Vojvodina, Urology Clinic, Novi Sad, Serbia)
Grbić Dragan (Clinical Center of Vojvodina, Urology Clinic, Novi Sad, Serbia)

Introduction. The most common malignant tumor of the kidney is renal cell carcinoma (> 90%). The metastasis of the renal cell carcinoma in lingual base is very rare. Case report. Patient, 74 years old, renal cell carcinoma underwent radical nephrectomy with evacuation of regional lymph nodes and without any further therapy. After two years of disease-free period, patient appeared with the symptom of difficult swallowing. Ultrasound showed tumor spreading in number of organs. Histopathological analysis of tissue from lingual base confirmed metastatic tumor. Conclusion. After radical surgical treatment of the malignant disease, it is important to examine multiple organ systems. Appropriate approach to the diagnostics and evaluation the entire condition of the patient in this stage of the disease, especially lingual base can relieve patients discomfort and provide prolonged survival, even if the prognosis is unfavourable.

This article has been corrected. Link to the correction 10.2298/VSP2010111E