Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
임상

사골동으로 전이된 신세포암 1례

이동재1, 유우정1, 김민식1, 서병도1
Dong-Jae Lee1, Woo-Jeong Yoo1, Min-Sik Kim1, Byung-Do Suh1
1가톨릭대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-Head and neck Surgery, Catholic University Medical College, Seoul, Korea

© Copyright 1995 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Metastatic carcinoma of the nose and paranasal sinuses is generally not considered because the primary lesion is much more likely to be diagnosed. Although it is rare, the renal cell carcinoma occasionally metastasizes to the nose and paranasal sinuses. These metastases are usually vascular and may either clinically precede the diagnosis of the renal primary tumor or may occur many years after apparently successful surgery of the primary tumor.

Recently we experienced a case of metastatic renal cell carcinoma to the ethmoid sinus in a 52 years old patient that occured 9 years after nephrectomy. Surprisingly, the patient also had metastatic lesion to the lung and had had metastatic lesions to the chest wall, right cheek area, paraumbilical area and right thyroid gland after nephrectomy. We performed medial maxillectomy for the removal of the metastatic lesion and there was no evidence of recurrence through the 21 months follow-up. Early recognition of this rare condition and surgical removal of metastatic tumor are recommended to prolong the patient’s life.

We report this case with a review of literatures.

Keywords: Metastatic renal cell carcinoma; Ethmoid sinuse; Medial Maxillectomy