Simultaneous Gastric Metastasis From Renal Cell Carcinoma: A Case Report and Literature Review
While some reports are available regarding metachronous gastric metastasis from renal cell carcinoma after treatment, there are few reports of primary lesion detection based on the diagnosis of a gastric metastatic lesion. The patient in this case was an 80-year-old woman who underwent upper gastroi...
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doaj-badbb2bccac044be8343fc9bd90413ea2020-11-25T02:50:11ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762018-05-011110.1177/1179547618775095Simultaneous Gastric Metastasis From Renal Cell Carcinoma: A Case Report and Literature ReviewNoriyuki Arakawa0Atsushi Irisawa1Goro Shibukawa2Ai Sato3Yoko Abe4Akane Yamabe5Yusuke Takasakia6Yoshitsugu Yoshida7Takumi Maki8Ryo Igarashi9Shogo Yamamoto10Tsunehiko Ikeda11Hiroshi Hojo12Department of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanDepartment of Pathology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, JapanWhile some reports are available regarding metachronous gastric metastasis from renal cell carcinoma after treatment, there are few reports of primary lesion detection based on the diagnosis of a gastric metastatic lesion. The patient in this case was an 80-year-old woman who underwent upper gastrointestinal endoscopy after having developed anorexia 2 months earlier. A submucosal tumor with central umbilication was found in the gastric greater curvature. Endoscopic ultrasonography revealed a solid and hypoechoic mass with hypervascularity on color Doppler imaging that proliferated mainly within the submucosal layer. There was partial exposure of the tumor on the superficial layer. Biopsy was performed, as a neuroendocrine tumor was suspected; however, histopathological findings with immunostaining revealed gastric metastasis from clear renal cell carcinoma. Subsequently, contrast enhanced computed tomography showed right renal cell carcinoma and liver metastasis. Thus, molecularly targeted drug treatment was initiated by the Department of Urology. Our findings indicate that a primary lesion can be identified and prognosis can be assumed based on biopsy of the gastric metastatic lesion. Immunostaining of biopsy samples collected endoscopically could help achieve definite diagnosis.https://doi.org/10.1177/1179547618775095 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Noriyuki Arakawa Atsushi Irisawa Goro Shibukawa Ai Sato Yoko Abe Akane Yamabe Yusuke Takasakia Yoshitsugu Yoshida Takumi Maki Ryo Igarashi Shogo Yamamoto Tsunehiko Ikeda Hiroshi Hojo |
spellingShingle |
Noriyuki Arakawa Atsushi Irisawa Goro Shibukawa Ai Sato Yoko Abe Akane Yamabe Yusuke Takasakia Yoshitsugu Yoshida Takumi Maki Ryo Igarashi Shogo Yamamoto Tsunehiko Ikeda Hiroshi Hojo Simultaneous Gastric Metastasis From Renal Cell Carcinoma: A Case Report and Literature Review Clinical Medicine Insights: Case Reports |
author_facet |
Noriyuki Arakawa Atsushi Irisawa Goro Shibukawa Ai Sato Yoko Abe Akane Yamabe Yusuke Takasakia Yoshitsugu Yoshida Takumi Maki Ryo Igarashi Shogo Yamamoto Tsunehiko Ikeda Hiroshi Hojo |
author_sort |
Noriyuki Arakawa |
title |
Simultaneous Gastric Metastasis From Renal Cell Carcinoma: A Case Report and Literature Review |
title_short |
Simultaneous Gastric Metastasis From Renal Cell Carcinoma: A Case Report and Literature Review |
title_full |
Simultaneous Gastric Metastasis From Renal Cell Carcinoma: A Case Report and Literature Review |
title_fullStr |
Simultaneous Gastric Metastasis From Renal Cell Carcinoma: A Case Report and Literature Review |
title_full_unstemmed |
Simultaneous Gastric Metastasis From Renal Cell Carcinoma: A Case Report and Literature Review |
title_sort |
simultaneous gastric metastasis from renal cell carcinoma: a case report and literature review |
publisher |
SAGE Publishing |
series |
Clinical Medicine Insights: Case Reports |
issn |
1179-5476 |
publishDate |
2018-05-01 |
description |
While some reports are available regarding metachronous gastric metastasis from renal cell carcinoma after treatment, there are few reports of primary lesion detection based on the diagnosis of a gastric metastatic lesion. The patient in this case was an 80-year-old woman who underwent upper gastrointestinal endoscopy after having developed anorexia 2 months earlier. A submucosal tumor with central umbilication was found in the gastric greater curvature. Endoscopic ultrasonography revealed a solid and hypoechoic mass with hypervascularity on color Doppler imaging that proliferated mainly within the submucosal layer. There was partial exposure of the tumor on the superficial layer. Biopsy was performed, as a neuroendocrine tumor was suspected; however, histopathological findings with immunostaining revealed gastric metastasis from clear renal cell carcinoma. Subsequently, contrast enhanced computed tomography showed right renal cell carcinoma and liver metastasis. Thus, molecularly targeted drug treatment was initiated by the Department of Urology. Our findings indicate that a primary lesion can be identified and prognosis can be assumed based on biopsy of the gastric metastatic lesion. Immunostaining of biopsy samples collected endoscopically could help achieve definite diagnosis. |
url |
https://doi.org/10.1177/1179547618775095 |
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