Urology Case Reports (Mar 2024)

Renal cell carcinoma metastasis without a primary: A case report

  • Basil Razi,
  • Dane Cole-Clark,
  • Duncan Self,
  • Raha Madadi Ghahan,
  • Edward Latif

Journal volume & issue
Vol. 53
p. 102658

Abstract

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In Australia, approximately 3 % of all cancers diagnosed each year are renal cancers. Renal Cell Carcinoma (RCC) represents 90 % of all primary renal malignancies. RCC are slow growing and often asymptomatic, thus are often found incidentally.Here we present the case of a 76-year-old male who was found to have a metastatic RCC in a para-aortic lymph node with no primary lesion. He underwent a retroperitoneal lymphadenectomy and 15 months after the surgery, has had no signs of primary tumours or metastasis.This case reports on a rare instance of metastatic RCC without an identified primary renal malignancy.

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