An Uncommon Case of Renal Metastasis from Cervical Cancer

Bazine, Aziz; Zniber, Hanae O; Ghaouti, Meriem; Baydada, Aziz; Sifat, Hassan

doi:10.7759/cureus.1941

Cited by 5 publications

(8 citation statements)

References 7 publications

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“…However, they may present with cause symptoms that may simulate a renal-abscess-like flank pain, hematuria, or fever in some cases. [ 14 15 16 ] As far as we know, this is the only reported case of asymptomatic, extensive, and unusual visceral metastasis without pelvic or retroperitoneal lymph node involvement. This reestablishes the role of 18F-FDG PET/CT as a hybrid whole-body imaging.…”

Section: Discussionmentioning

confidence: 87%

Relapsed carcinoma cervix presented with multiple rare visceral metastases: Role of 18f-fluorodeoxyglucose positron emission tomography/computed tomography

et al. 2022

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Carcinoma cervix spread to locoregional lymph nodes. Distance metastases are uncommon and occur through hematogenous routes in advanced stages. The common sites include bone and lungs. Another organ involvement is uncommon. Computed tomography (CT) and magnetic resonance imaging have a crucial role in diagnosing local and distant metastasis. 18F-fluorodeoxyglucose positron emission tomography/CT (18F-FDG PET/CT) is a sensitive molecular imaging modality for various cancers, including gynecological ones. We present a case of recurrent cervical carcinoma presented with cervical mass and several rare visceral metastases. 18F-FDG PET/CT is a whole-body modality that accurately localized all lesions in a single study.

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Section: Discussionmentioning

confidence: 87%

Relapsed carcinoma cervix presented with multiple rare visceral metastases: Role of 18f-fluorodeoxyglucose positron emission tomography/computed tomography

et al. 2022

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“…Zhou et al [14] described 151 patients with renal metastasis, with the most common primary sites of disease being the lung (43.7%), colorectal area (10.6%), head and neck (6%), breast (5.3%), soft tissues (5.3%), and thyroid (5.3%). There are few cases of cervical cancer with metastases to the kidney [3].…”

Section: Discussionmentioning

confidence: 99%

“…Most patients with metastases to the kidney are asymptomatic, but up to 30% have evidence of hematuria. Most commonly, the diagnosis is based on incidental findings at the time of routine imaging [3]. Less commonly, such metastases may present as a renal mass and fever, suggesting a para-renal abscess [15].…”

Section: Discussionmentioning

confidence: 99%

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Simultaneous Metastasis from Cervical Cancer to the Kidney and Paraspinal Muscle: A Case Report

Rodriguez

Castro

Beltrán

et al. 2019

Cureus

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Metastases of squamous cell carcinoma of the cervix to atypical locations may occur in approximately 12% of patients diagnosed with distant metastases, with the kidney and paraspinal muscle as one of the rarest sites of spread. A 34-year-old woman with a diagnosis of squamous cell carcinoma of the cervix stage IIIB, treated with chemotherapy and radiation, presented 21 months after completion of therapy, with two sites of simultaneous metastases (kidney and paraspinal muscle). No other evidence of disease was noted. She underwent right nephrectomy and radiotherapy to the para-spinal mass. She did not accept chemotherapy. The patient then had progression of disease in the right nephrectomy bed and a new left renal lesion. The paraspinal lesion presents a partial response. The patient declined further chemotherapy and died five months after the relapse. Simultaneous metastases of squamous cell carcinoma of the cervix to the kidney and paraspinal region is a rare entity, and there is currently no standard recommendation for treatment.

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“…In the autopsy series by Bracken et al,3 it was documented that cervical cancer metastasized to the kidney with the highest frequency (4.9%), followed by ovarian tumors (3.8%) and uterine tumors (2.9%). Renal involvement by cervical carcinoma in the clinical setting is rare 110–112. Some cases of renal metastases from uterine serous carcinoma,113 endometrial adenocarcinoma,114,115 uterine leiomyosarcoma,116 and ovarian granulosa cell tumor117 have also been reported.…”

Section: Primary Tumor Sitesmentioning

confidence: 99%

Secondary Tumors of the Kidney: A Comprehensive Clinicopathologic Analysis

Saeed

Osunkoya²

2022

Advances in Anatomic Pathology

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Metastases to the kidney are rare and were historically described in autopsy series, and the incidence ranged between 2.36% and 12.6%. However, in the contemporary literature with the improvements in imaging modalities (computed tomography scan and magnetic resonance imaging) and other health care screening services, metastatic tumors to the kidney are being diagnosed more frequently in surgical specimens. The utility of needle core biopsies in the primary evaluation of renal masses has also increased the number of sampled metastases, and as a result, only limited histologic material is available for evaluation in some cases and may potentially lead to diagnostic pitfalls. In the last decade, a few large clinical series have been published. In these series, the majority of metastatic tumors to the kidney are carcinomas, with the lung being the most common primary site. A significant number of the various tumor types with metastasis to the kidney are also associated with widespread metastases to other organs, and the renal metastasis may present several years after diagnosis of the primary tumor. The majority of secondary tumors of the kidney are asymptomatic, incidentally discovered, and solitary. There should be a high index of suspicion of metastasis to the kidney in patients with an associated enlarging renal lesion with minimal to no enhancement on imaging and tumor progression of a known high-grade nonrenal malignancy. Secondary tumors of the kidney can be accurately diagnosed by correlating histopathologic features with clinical and radiographic findings and the judicious use of ancillary studies.

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An Uncommon Case of Renal Metastasis from Cervical Cancer

Cited by 5 publications

References 7 publications

Relapsed carcinoma cervix presented with multiple rare visceral metastases: Role of 18f-fluorodeoxyglucose positron emission tomography/computed tomography

Relapsed carcinoma cervix presented with multiple rare visceral metastases: Role of 18f-fluorodeoxyglucose positron emission tomography/computed tomography

Simultaneous Metastasis from Cervical Cancer to the Kidney and Paraspinal Muscle: A Case Report

Secondary Tumors of the Kidney: A Comprehensive Clinicopathologic Analysis

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