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Current Oncology
Volume 18
Issue 1
10.3747/co.v18i1.647
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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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Article

Lymphangitic Metastasis of Recurrent Renal Cell Carcinoma to the Contralateral Lung Causing Lymphangitic Carcinomatosis and Respiratory Symptoms

by
Jonathan B. Wallach
*,
T. McGarry
and
J. Torres
Mount Sinai–Elmhurst Hospital Center, 225 East 95th Street, Suite 22D, New York, NY, USA
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2011, 18(1), 647; https://doi.org/10.3747/co.v18i1.647
Submission received: 10 November 2010 / Revised: 8 December 2010 / Accepted: 5 January 2011 / Published: 1 February 2011

Abstract

Renal cell carcinoma comprises 80–85% of kidney malignancies. For early presentations, nephrectomy provides a high cure rate, but patients usually present at advanced stages, leading to poor outcomes. Even for patients without metastatic spread who undergo nephrectomy, metastatic recurrence is frequent. We report the case of a patient who underwent nephrectomy for stage III renal cell carcinoma and who presented 20 months later with respiratory symptoms consistent with pneumonia, influenza, or (less likely) congestive heart failure or a cardiac event. Persistent right pleural effusion on serial chest radiographs despite treatment prompted computed tomography evaluation, which revealed lymphangitic carcinomatosis, a very rare form of renal cell carcinoma metastasis to the lung. This preliminary finding was confirmed by right middle lobe tissue biopsy through bronchoscopy and cytopathology examination.
Keywords: renal cell carcinoma; recurrence; lung metastasis; lymphangitic carcinomatosis renal cell carcinoma; recurrence; lung metastasis; lymphangitic carcinomatosis

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MDPI and ACS Style

Wallach, J.B.; McGarry, T.; Torres, J. Lymphangitic Metastasis of Recurrent Renal Cell Carcinoma to the Contralateral Lung Causing Lymphangitic Carcinomatosis and Respiratory Symptoms. Curr. Oncol. 2011, 18, 647. https://doi.org/10.3747/co.v18i1.647

AMA Style

Wallach JB, McGarry T, Torres J. Lymphangitic Metastasis of Recurrent Renal Cell Carcinoma to the Contralateral Lung Causing Lymphangitic Carcinomatosis and Respiratory Symptoms. Current Oncology. 2011; 18(1):647. https://doi.org/10.3747/co.v18i1.647

Chicago/Turabian Style

Wallach, Jonathan B., T. McGarry, and J. Torres. 2011. "Lymphangitic Metastasis of Recurrent Renal Cell Carcinoma to the Contralateral Lung Causing Lymphangitic Carcinomatosis and Respiratory Symptoms" Current Oncology 18, no. 1: 647. https://doi.org/10.3747/co.v18i1.647

APA Style

Wallach, J. B., McGarry, T., & Torres, J. (2011). Lymphangitic Metastasis of Recurrent Renal Cell Carcinoma to the Contralateral Lung Causing Lymphangitic Carcinomatosis and Respiratory Symptoms. Current Oncology, 18(1), 647. https://doi.org/10.3747/co.v18i1.647

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