Metastatic renal cell carcinoma presenting as subcutaneous nodule

Kabiul Haque, MD; Margaret McNew, BSc; Ashley Flowers, MD; Peeyush Bhargava, MDMBA; Guillermo Sangster, MD; Quyen Chu, MD

Radiology Case Reports (Jun 2022)

Metastatic renal cell carcinoma presenting as subcutaneous nodule

Kabiul Haque, MD,
Margaret McNew, BSc,
Ashley Flowers, MD,
Peeyush Bhargava, MDMBA,
Guillermo Sangster, MD,
Quyen Chu, MD

Affiliations

Kabiul Haque, MD: Departments of Radiology, Louisiana State University, Shreveport, LA, 71103, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Family Medicine, Louisiana State University, Shreveport, LA, 71103,
Margaret McNew, BSc: Departments of Radiology, Louisiana State University, Shreveport, LA, 71103, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Family Medicine, Louisiana State University, Shreveport, LA, 71103,
Ashley Flowers, MD: Departments of Radiology, Louisiana State University, Shreveport, LA, 71103, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Family Medicine, Louisiana State University, Shreveport, LA, 71103,
Peeyush Bhargava, MDMBA: Corresponding author; Departments of Radiology, Louisiana State University, Shreveport, LA, 71103, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Family Medicine, Louisiana State University, Shreveport, LA, 71103,
Guillermo Sangster, MD: Departments of Radiology, Louisiana State University, Shreveport, LA, 71103, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Family Medicine, Louisiana State University, Shreveport, LA, 71103,
Quyen Chu, MD: Departments of Radiology, Louisiana State University, Shreveport, LA, 71103, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Family Medicine, Louisiana State University, Shreveport, LA, 71103,

Journal volume & issue: Vol. 17, no. 6
pp. 1973 – 1976

Abstract

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Renal cell carcinoma is frequently undiagnosed until it reaches an advanced metastatic stage. Renal cell cancers are also seen as incidental findings on imaging, and rarely can present as physical examination findings. We report a rare case where metastatic renal cell carcinoma presented as a solitary 2 cm subcutaneous chest wall nodule in an otherwise asymptomatic male patient. Initial ultrasound evaluation showed a solid vascular subcutaneous mass, a fine needle aspiration suggested metastatic renal cell cancer, and later, excision biopsy, and CT scan of the abdomen made the final diagnosis of stage IV renal cell carcinoma. The differential diagnosis of a 2 cm nodule can be broad and in appropriate clinical setting should include consideration of malignancy and/ metastasis.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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