Nephrogenic epistaxis

Kumar, Rajeev; Sikka, Kapil; Kumar, Rakesh; Chatterjee, Priti

doi:10.11622/smedj.2013185

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…RCC can metastasize early, and symptoms of a metastatic tumor may be the first clinical presentation . Alternatively, sinonasal RCC metastases may occur many years (up to 18) after treatment of the primary tumor . Sinonasal metastasis is usually associated with metastasis to other organs and single head and neck metastasis from RCC is an exceptional occurrence…”

Section: Primary Tumor Sitesmentioning

confidence: 99%

Metastases to nasal cavity and paranasal sinuses

et al. 2016

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The sinonasal cavities are rare locations for metastases. Metastases to these locations are usually solitary and produce similar symptoms to those of a primary sinonasal tumor. Nasal obstruction and epistaxis are the most frequent symptoms. The maxillary sinus is most frequently involved. The most common primary tumor sites to spread to this region originate in the kidney, breast, thyroid, and prostate, although any malignancy could potentially lead to a metastasis to the paranasal sinuses. The patient's prognosis is usually poor because of the fact that the sinonasal metastasis is usually associated with widespread disseminated disease. In the majority of patients, palliative therapy is the only possible treatment option. Nevertheless, whenever possible, surgical excision either alone or combined with radiotherapy may be useful for palliation of symptoms and, rarely, to achieve prolonged survival. This review considers the most interesting cases reported in the literature that presents metastases to the sinonasal cavities. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1847-1854, 2016.

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Section: Primary Tumor Sitesmentioning

confidence: 99%

Metastases to nasal cavity and paranasal sinuses

et al. 2016

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“…Metastatic RCC to the sinonasal district has been reported as the presenting sign of this disease in a few cases [ 29 , 34 ], while in others it followed or occurred simultaneously to primary cancer diagnosis. Presentation symptoms are often limited to recurrent epistaxis [ 40 – 43 ] and the presence of a primary renal cell carcinoma is recognized only after surgical removal of the metastatic tumor via histologic examination supported by immunohistochemical staining of the specimen [ 5 ]. Rarely, metastasis in the sinonasal cavities followed RCC diagnosis and treatment [ 44 – 46 ]; cases of postsurgery metastasis in the head and neck district have been described up to 12 years after surgery [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Metastatic Renal Cell Carcinoma Presenting as a Paranasal Sinus Mass: The Importance of Differential Diagnosis

Ralli

Altissimi

Turchetta

et al. 2017

Case Reports in Otolaryngology

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Metastases in the paranasal sinuses are rare; renal cell carcinoma is the most common cancer that metastasizes to this region. We present the case of a patient with a 4-month history of a rapidly growing mass of the nasal pyramid following a nasal trauma, associated with spontaneous epistaxis and multiple episodes of hematuria. Cranial CT scan and MRI showed an ethmoid mass extending to the choanal region, the right orbit, and the right frontal sinus with an initial intracranial extension. Patient underwent surgery with a trans-sinusal frontal approach using a bicoronal incision combined with an anterior midfacial degloving; histological exam was compatible with a metastasis of clear cell renal cell carcinoma. Following histological findings, a total body CT scan showed a solitary 6 cm mass in the upper posterior pole of the left kidney identified as the primary tumor. Although rare, metastatic renal cell carcinoma should always be suspected in patients with nasal or paranasal masses, especially if associated with symptoms suggestive of a systemic involvement such as hematuria. A correct early-stage diagnosis of metastatic RCC can considerably improve survival rate in these patients; preoperative differential diagnosis with contrast-enhanced imaging is fundamental for the correct treatment and follow-up strategy.

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“…Very rarely, epistaxis may also be neoplastic, such as metastatic renal cell carcinoma. [14]. Age of patients uses drugs that affect the blood coagulation system.…”

Section: Etiologymentioning

confidence: 99%

Epistaxis etiology and treatment

Kożuchowski

Prylińska

2021

J Educ Health Sport

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Epistaxis occurs in approximately 60% of the general population. Every tenthperson requires treatment in a hospital setting. Epistaxis occurs in all age groups,reaching its peak in children around 10 years of age and in adults around 80years of age. The frequency and intensity of epistaxis are anatomically based onnumerous vascular connections. The cause of epistaxis in most cases can bedetermined on the basis of a detailed history and physical examination. Thereare a number of treatments available for nose bleeds. From widely availablemethods such as nasal tamponade to more advanced endovascular procedures.

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Nephrogenic epistaxis

Cited by 5 publications

References 7 publications

Metastases to nasal cavity and paranasal sinuses

Metastases to nasal cavity and paranasal sinuses

Metastatic Renal Cell Carcinoma Presenting as a Paranasal Sinus Mass: The Importance of Differential Diagnosis

Epistaxis etiology and treatment

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