Renal Cell Carcinoma With Solitary Vaginal Metastasis

1128 WordsJan 11, 20155 Pages
Renal Cell Carcinoma with Solitary Vaginal Metastasis Authors: University of Oklahoma Department of Urology Disclosure of conflict of interests: Abstract Background: Solitary vaginal metastasis of renal cell carcinoma is extremely rare. Case: We present a 71 year-old woman with a history of a stage T4,Nx,M1 renal cell carcinoma status post laparoscopic nephrectomy who presents with a vaginal mass. Imaging demonstrated a solid vaginal tumor suspicious for metastatic disease with no evidence of additional metastases. Excisional biopsy of the vaginal mass was consistent with renal cell carcinoma. Conclusions: Although rare, metastatic renal cell carcinoma can present as a solitary vaginal mass. Key Words: renal cell carcinoma, vaginal mass, vaginal metastasis, solitary vaginal metastasis Background Renal cancer accounts for approximately 2% of all new cancers worldwide. Renal Cell Carcinoma (RCC) accounts for 85% of renal cancers diagnosed in the United States from 1992-2002.1 Vaginal metastasis secondary to RCC is rare, with 85 cases reported up to 2003 and an additional 9 cases published cases since that time.2,3,4,5,6,7,8,9,10,11 Additionally, to our knowledge there are no reported cases of solitary RCC metastasis to the peri-urethral area of the vaginal wall. Case: A 71 year-old woman with a stage T4,Nx,M1 RCC status post laparoscopic nephrectomy presented with a solitary vaginal metastasis and no other signs of metastatic disease. She initially presented
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