Display options
Cite
Alqahtani AR, Alqahtani MA. A unique presentation of renal cell transformation into renal cell carcinoma in subcutaneous fatty tissue post twenty year old healing gun-shot wound: A case report. Int J Surg Case Rep. 2017;35:60-62doi: 10.1016/j.ijscr.2017.03.023.
Alqahtani, A. R., & Alqahtani, M. A. (2017). A unique presentation of renal cell transformation into renal cell carcinoma in subcutaneous fatty tissue post twenty year old healing gun-shot wound: A case report. International journal of surgery case reports, 3560-62. https://doi.org/10.1016/j.ijscr.2017.03.023
Alqahtani, Awadh R, and Alqahtani, Mohammed A. "A unique presentation of renal cell transformation into renal cell carcinoma in subcutaneous fatty tissue post twenty year old healing gun-shot wound: A case report." International journal of surgery case reports vol. 35 (2017): 60-62. doi: https://doi.org/10.1016/j.ijscr.2017.03.023
Alqahtani AR, Alqahtani MA. A unique presentation of renal cell transformation into renal cell carcinoma in subcutaneous fatty tissue post twenty year old healing gun-shot wound: A case report. Int J Surg Case Rep. 2017;35:60-62. doi: 10.1016/j.ijscr.2017.03.023. Epub 2017 Mar 21. PMID: 28448860; PMCID: PMC5406522.
Copy Download .nbib Format: NLM
Share it on

Int J Surg Case Rep. 2017;35:60-62. doi: 10.1016/j.ijscr.2017.03.023. Epub 2017 Mar 21.

A unique presentation of renal cell transformation into renal cell carcinoma in subcutaneous fatty tissue post twenty year old healing gun-shot wound: A case report.

International journal of surgery case reports

Awadh R Alqahtani, Mohammed A Alqahtani

Affiliations

  1. Surgical Oncology, Laparoscopic and Bariatric Surgery Division, King Khalid University Hospital, King Saud University Medical City, Saudi Arabia. Electronic address: [email protected].
  2. Surgical Oncology, Laparoscopic and Bariatric Surgery Division, King Khalid University Hospital, King Saud University Medical City, Saudi Arabia.

PMID: 28448860 PMCID: PMC5406522 DOI: 10.1016/j.ijscr.2017.03.023

Abstract

INTRODUCTION: Renal cell carcinoma (RCC) is the most common malignancy in the genitourinary tract, and is among the 10 most common cancers in both males and females.

PRESENTATION OF CASE: We report a case of a 61-year-old male who presented with a cutaneous lesion on his left back side at a site where he had undergone several surgeries - including Left nephrectomy - twenty years ago for a gun-shot wound he sustained which penetrated his abdomen.

DISCUSSION: At that time pathology reports turned out to be normal, specially left kidney pathology report which was negative for any malignancy. Twenty years later, patient presented with a clear fluctuating painless cutaneous mass of 1-2cm on his left back side, which grew gradually over time. Histopathologically, the incisional biopsy showed trabecular & papillary clear cells with prominent vascularity and hemosiderin deposition in the stroma, consistent with a malignant Renal cell Carcinoma (RCC). Immunohistochemically, it stained positive for Vimentin, CD10, PAX-8. Labs revealed positive renal cell carcinoma antibody. CT scans, urine tests, and bone scans failed to reveal the site of the primary lesion. Furthermore, the patient reports minimal constitutional symptoms and is grossly well.

CONCLUSION: The authors have reported an interesting case of an RCC presenting in a healed gun-shot wound in a previously nephrectomized patient. To the best of authors' knowledge, such a case hasn't been reported in the literature before, with it being unique in its time course, preceding events, and absence of primary lesions.

Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Case report; Cutaneous transformation; Gun-shot wound; Nephrectomy; Renal cell carcinoma

References

  1. Case Rep Med. 2010;2010:null - PubMed
  2. JAMA. 1999 May 5;281(17):1628-31 - PubMed
  3. South Med J. 2003 Feb;96(2):164-7 - PubMed
  4. An Bras Dermatol. 2013 Jul-Aug;88(4):541-4 - PubMed
  5. Cancer Treat Rev. 2008 May;34(3):193-205 - PubMed
  6. Dermatol Surg. 2001 Feb;27(2):192-4 - PubMed
  7. Int J Surg. 2016 Oct;34:180-186 - PubMed
  8. Mayo Clin Proc. 1997 Oct;72(10):935-41 - PubMed

Publication Types