J Korean Soc Radiol.  2021 Jul;82(4):994-999. 10.3348/jksr.2020.0131.

Solitary, Endobronchial Metastasis from Renal Cell Carcinoma 20 Years after Nephrectomy

• Kim MJ
• Kim JI
• Won KY
• Lee HN

• KMID: 2518633
• DOI: http://doi.org/10.3348/jksr.2020.0131

Abstract

Late recurrence over 10 years after surgery and endobronchial metastasis are some of the spe‑ cific biological behaviors of renal cell carcinoma (RCC). The current report describes a case of solitary endobronchial metastasis at a subsegmental bronchus that developed 20 years after curative nephrectomy for RCC. A 71‑year‑old male was admitted to our hospital for pneumonia. Chest radiography showed multifocal ill-defined nodular opacities in the right lower lung zone, suggesting pneumonia. Subsequent chest CT confirmed pneumonic infiltration in the right lung. However, a 4.3-cm, well-defined, elongated mass with a branching pattern was also iden‑ tified in the right lower lobe, and a right nephrectomy scar was detected on the covered upper abdomen. The patient had undergone right nephrectomy 20 years ago due to clear cell RCC. Af‑ ter right lower lobectomy, the postoperative pathological diagnosis was endobronchial meta‑ static clear cell RCC. Endobronchial metastasis should be considered in a patient with a history of RCC who presents with a suspected endobronchial tumor, even decades after curative surgery.

Keyword

Carcinoma; Renal Cell Carcinoma; Metastasis