Curr Health Sci J, vol. 46, no. 1, 2020

Metastases to the Kidney: A Case Report and Review of the Literature

[Case Report]

S.M. CAZACU(1), L.D. SANDULESCU(1), G. MITROI(2), D.C. NEAGOE(1), C. STREBA(3), D.M. ALBULESCU(4)


(1)3rd Department, Internal Medicine 5th Year, University of Medicine and Pharmacy of Craiova, Research Center of Gastroenterology and Hepatology of Craiova, Romania,
(2)Surgery Department, University of Medicine and Pharmacy of Craiova, Romania,
(3)3rd Department, Pneumology discipline, University of Medicine and Pharmacy of Craiova, Romania,
(4)2nd Department, Imaging discipline, University of Medicine and Pharmacy of Craiova, Romania


Abstract:

Renal metastases are uncommon in clinical practice, even as autopsy reports much frequent cases în disseminated tumors. Usually multiple and bilateral, they can determine many problems of differential diagnosis in case of solitary renal mass, when a primary kidney neoplasm must be excluded. Main sources are represented by the tumors of the lung, breast, digestive tract, melanomas and lymphomas, but rare cases with other etiology have been reported. Imaging can help to the diagnosis; CT scan, MRI, transabdominal ultrasound and sometimes contrast enhanced ultrasound can be useful. The treatment is individualized by the general status, by other organs involved and by the control of primary tumors; nephrectomy can be made in cases with unsure diagnosis and if primary tumor is controlled.


Keywords:
Renal metastases, lung tumor, renal carcinoma, contrast enhanced ultrasound.



Corresponding:
George Mitroi, Surgery Department, University of Medicine and Pharmacy of Craiova, Romania, e-mail: gmitroi@yahoo.com Daniela Carmen Neagoe, 3rd Department, Internal Medicine 5th Year, University of Medicine and Pharmacy of Craiova, Research Center of Gastroenterology and Hepatology of Craiova, Romania, e-mail: dananeagoe2014@gmail.com


DOI 10.12865/CHSJ.46.01.11 - Download PDF