Korean J Med.
2013 Feb;84(2):245-248.
Late Presentation of Metastatic Renal Cell Carcinoma as a Bleeding Duodenal Mass
- Affiliations
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- 1Department of Internal Medicine, Seoul Veterans Hospital, Seoul, Korea. tkdance@medimail.com
- 2Department of Pathology, Seoul Veterans Hospital, Seoul, Korea.
Abstract
- Gastrointestinal metastasis of a renal cell carcinoma is very rare, and the clinical course of the disease ranges from months to several decades. We experienced a case of solitary duodenal metastasis about 22 years after a right nephrectomy for clear-cell type renal cell carcinoma in a 77-year-old man who complained of melena. This case is the longest reported time interval between surgical nephrectomy to presentation with a duodenal metastasis. Patients usually present with recurrence within a year after radical nephrectomy but can present after many years, warranting lifelong surveillance.
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