CT and MR imaging of laryngeal metastasis from renal cell carcinoma: A case report

Akira Baba, MD, PhD; Satoshi Matsushima, MD, PhD; Ryo Kurokawa, MD, PhD; Reina Kayama, MD, PhD; Mariko Kurokawa, MD; Yoshiaki Ota, MD; Hideomi Yamauchi, MD, PhD; Hirokazu Ashida, MD, PhD; Matsusato Tsuyumu, MD; Norihiko Uchio, MD; Hiroya Ojiri, MD, PhD

Radiology Case Reports (Dec 2021)

CT and MR imaging of laryngeal metastasis from renal cell carcinoma: A case report

Akira Baba, MD, PhD,
Satoshi Matsushima, MD, PhD,
Ryo Kurokawa, MD, PhD,
Reina Kayama, MD, PhD,
Mariko Kurokawa, MD,
Yoshiaki Ota, MD,
Hideomi Yamauchi, MD, PhD,
Hirokazu Ashida, MD, PhD,
Matsusato Tsuyumu, MD,
Norihiko Uchio, MD,
Hiroya Ojiri, MD, PhD

Affiliations

Akira Baba, MD, PhD: Department of Radiology, The Jikei University School of Medicine, 3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo 1058461, Japan; Division of Neuroradiology, Department of Radiology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109; Corresponding author. A. Baba.
Satoshi Matsushima, MD, PhD: Department of Radiology, The Jikei University School of Medicine, 3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo 1058461, Japan
Ryo Kurokawa, MD, PhD: Division of Neuroradiology, Department of Radiology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109
Reina Kayama, MD, PhD: Department of Radiology, The Jikei University School of Medicine, 3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo 1058461, Japan
Mariko Kurokawa, MD: Division of Neuroradiology, Department of Radiology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109
Yoshiaki Ota, MD: Division of Neuroradiology, Department of Radiology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109
Hideomi Yamauchi, MD, PhD: Department of Radiology, The Jikei University School of Medicine, 3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo 1058461, Japan
Hirokazu Ashida, MD, PhD: Department of Radiology, The Jikei University School of Medicine, 3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo 1058461, Japan
Matsusato Tsuyumu, MD: Department of Otorhinolaryngology, The Jikei University School of Medicine, 3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo 1058461, Japan
Norihiko Uchio, MD: SORAIRO ENT CLINIC, 1-2-1 Nakagawa Chuo, Tsuzuki-ku, Yokohama, Kanagawa, 2240003, Japan
Hiroya Ojiri, MD, PhD: Department of Radiology, The Jikei University School of Medicine, 3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo 1058461, Japan

Journal volume & issue: Vol. 16, no. 12
pp. 3927 – 3930

Abstract

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Laryngeal metastasis is an extremely rare condition. To the best of our knowledge, there has been no previous report on a laryngeal metastasis from renal cell carcinoma, which describes on details of the CT and MR imaging findings. A male patient in his 80s. Laryngoscopy revealed reddish-colored masses in the right false vocal cord and in the subglottic larynx. CT and MR imaging of this case showed multiple hypervascularized lesions with a wash-out effect in the supra and subglottis of the larynx and in the right intervertebral foramen of the cervical spine. Angiography revealed a hypervascular tumor consistent with the subglottic lesion. The histopathology and immunohistochemistry findings were compatible with laryngeal metastasis from renal clear cell carcinoma. A history of postoperative renal clear cell carcinoma about 7 years ago was later confirmed, which was not stated at the time of the initial imaging evaluation. It is a possible differential diagnosis in cases of multiple hypervascular masses in the head and neck region with a history of renal carcinoma. In particular, if the contrast-enhancement pattern of the lesion on the dynamic CT is similar to that of renal cell carcinoma. It is also important to reconfirm the patient's medical history, including postoperative status.

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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