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Vol.43 No.6 contents Japanese/English

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Article in Japanese

- Case Report -

A Case of Metastases to the Bilateral Pleurae and Lungs 13 Years After Nephrectomy for Renal Cell Carcinoma

Jin Sakamoto1,2, Toshihiro Okamoto1, Hiroshi Mizuno1
1The Department of Respiratory Medicine, Kansai Denryoku Hospital, Japan, 2Dr Sakamoto is now with the Department of Thoracic Surgery, Shimane Prefectural Center Hospital, Japan

Background. Although the incidence of metastasis of renal cell carcinoma to the lungs is high, there have been few reports of delayed lung metastasis occurring more than 10 years after nephrectomy. Case. A 63-year-old man had undergone right nephrectomy because of renal cell carcinoma when he was 50 years old. Thirteen years after, multiple lesions of the bilateral pleurae and lungs appeared on chest X-ray films and CT scans. The seven metastatic lesions were resected completely. The examination of resected tissues revealed renal cell carcinoma. Conclusion. This case was worth reporting, because lung metastasis rarely occurred a long time after nephrectomy for renal cell carcinoma.
key words: Renal cell carcinoma, Delayed metastasis, Pulmonary/pleural metastases

Received: March 17, 2003
Accepted: July 7, 2003

JJLC 43 (6): 725-728, 2003

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