Radiology Case Reports (Mar 2020)

Dynamic CT findings of a polypoid gastric metastasis of clear renal cell carcinoma: a case report with literature review

  • Rika Yoshida, MD,
  • Takeshi Yoshizako, MD,
  • Shinji Ando, MD,
  • Kotaro Shibagaki, MD,
  • Noriyoshi Ishikawa, MD,
  • Hajime Kitagaki, MD

Journal volume & issue
Vol. 15, no. 3
pp. 237 – 240

Abstract

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Metastatic disease involving the stomach is very rare. The gastric metastases of renal cell carcinoma (RCC) have rarely been reported, occurring in 0.2% of all RCC cases. Sometimes gastric metastases cause gastrointestinal bleeding and require treatment.We present the case of an 85-year-old woman with gastric metastasis from RCC diagnosed by anemia and bleeding. A dynamic contrast-enhanced computed tomography revealed a pedunculated and hypervascular polypoid mass approximately 100 mm in size with a washout enhancement pattern in the stomach. In addition to describing the case of our patient, we have reviewed computed tomography findings of gastric metastases from clear RCC. Keywords: Renal cell carcinoma, Gastric metastasis, Endoscopic submucosal dissection, Polypoid tumor