Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
권호 표지
DOI QR코드

DOI QR Code

Seeding Metastasis of Chromophobe Renal Cell Carcinoma after Robot-Assisted Laparoscopic Partial Nephrectomy

  • Lee, Kanghun (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Choi, Moon Hyung (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2017.04.27
  • Accepted : 2017.05.25
  • Published : 2017.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Chromophobe renal cell carcinoma (RCC) is an uncommon subtype of RCC having a better prognosis than clear cell RCC. Although there are several reports of seeding metastasis of RCC after biopsy, seeding metastasis of chromophobe RCC after surgical resection has seldom been reported. Here, we describe a case of multiple seeding metastases in the abdomen and pelvis 78 months after robot-assisted laparoscopic partial nephrectomy, without prior history of biopsy for chromophobe RCC in the right kidney. As magnetic resonance imaging (MRI) of the pelvic mass showed a similar appearance to the primary renal mass and displayed separate margins with the rectum and prostate gland, we were able to make a diagnosis before pathologic confirmation.

Keywords

References

  1. Cheville JC, Lohse CM, Zincke H, Weaver AL, Blute ML. Comparisons of outcome and prognostic features among histologic subtypes of renal cell carcinoma. Am J Surg Pathol 2003;27:612-624 https://doi.org/10.1097/00000478-200305000-00005
  2. Chang DT, Sur H, Lozinskiy M, Wallace DM. Needle tract seeding following percutaneous biopsy of renal cell carcinoma. Korean J Urol 2015;56:666-669 https://doi.org/10.4111/kju.2015.56.9.666
  3. Park SH, Oh YT, Jung DC, Cho NH, Choi YD, Park SY. Abdominal seeding of renal cell carcinoma: radiologic, pathologic, and prognostic features. Abdom Radiol (NY) 2017;42:1510-1516 https://doi.org/10.1007/s00261-016-1029-8
  4. Moch H, Cubilla AL, Humphrey PA, Reuter VE, Ulbright TM. The 2016 WHO classification of tumours of the urinary system and male genital organs-Part A: renal, penile, and testicular tumours. Eur Urol 2016;70:93-105 https://doi.org/10.1016/j.eururo.2016.02.029
  5. Brufau BP, Cerqueda CS, Villalba LB, Izquierdo RS, Gonzalez BM, Molina CN. Metastatic renal cell carcinoma: radiologic findings and assessment of response to targeted antiangiogenic therapy by using multidetector CT. Radiographics 2013;33:1691-1716 https://doi.org/10.1148/rg.336125110
  6. Castillo OA, Vitagliano G. Port site metastasis and tumor seeding in oncologic laparoscopic urology. Urology 2008;71:372-378 https://doi.org/10.1016/j.urology.2007.10.064
  7. Micali S, Celia A, Bove P, et al. Tumor seeding in urological laparoscopy: an international survey. J Urol 2004;171:2151-2154 https://doi.org/10.1097/01.ju.0000124929.05706.6b
  8. Slywotzky C, Maya M. Needle tract seeding of transitional cell carcinoma following fine-needle aspiration of a renal mass. Abdom Imaging 1994;19:174-176 https://doi.org/10.1007/BF00203498
  9. Saika T, Ono Y, Hattori R, et al. Long-term outcome of laparoscopic radical nephrectomy for pathologic T1 renal cell carcinoma. Urology 2003;62:1018-1023 https://doi.org/10.1016/j.urology.2003.07.009
  10. Fentie DD, Barrett PH, Taranger LA. Metastatic renal cell cancer after laparoscopic radical nephrectomy: long-term follow-up. J Endourol 2000;14:407-411 https://doi.org/10.1089/end.2000.14.407
  11. Kondo T, Nakazawa H, Sakai F, et al. Spoke-wheellike enhancement as an important imaging finding of chromophobe cell renal carcinoma: a retrospective analysis on computed tomography and magnetic resonance imaging studies. Int J Urol 2004;11:817-824 https://doi.org/10.1111/j.1442-2042.2004.00907.x
  12. Rosenkrantz AB, Hindman N, Fitzgerald EF, Niver BE, Melamed J, Babb JS. MRI features of renal oncocytoma and chromophobe renal cell carcinoma. AJR Am J Roentgenol 2010;195:W421-427 https://doi.org/10.2214/AJR.10.4718