The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Late Presentation of Metastatic Renal Cell Carcinoma as a Bleeding Duodenal Mass

위장관 출혈로 발견된 신세포암의 늦은 십이지장전이 1예

  • Seo, Jae Won (Department of Internal Medicine, Seoul Veterans Hospital) ;
  • Kang, Eun Mi (Department of Internal Medicine, Seoul Veterans Hospital) ;
  • Kim, Sung Hoon (Department of Internal Medicine, Seoul Veterans Hospital) ;
  • Jang, Ji Sun (Department of Internal Medicine, Seoul Veterans Hospital) ;
  • Bang, Jei So (Department of Internal Medicine, Seoul Veterans Hospital) ;
  • Yang, Su Hyun (Department of Internal Medicine, Seoul Veterans Hospital) ;
  • Park, Yang Soon (Department of Pathology, Seoul Veterans Hospital)
  • Received : 2012.01.06
  • Accepted : 2012.05.30
  • Published : 2013.02.01
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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.

저자들은 신세포암으로 우측 근치적 신절제술을 시행하고 22년이라는 긴 시간 동안 무병상태로 지내던 환자에서 위장관 출혈로 발견된 신세포암의 십이지장 단일 전이 증례를 경험하였다. 신세포암으로 신절제술을 시행한 과거력을 가지고 있는 환자들 중 위장관 증상을 보이는 경우 신세포암의 느린 성장속도를 고려하여 내시경 및 영상의학 검사를 통하여 전이성 병변을 확인하는 것이 필요할 것으로 생각된다.

Keywords

References

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