Isolated clival metastasis: a rare presentation of renal cell carcinoma.

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Isolated clival metastasis: a rare presentation of renal cell carcinoma.

BMJ Case Rep. 2017 Aug 11;2017:

Authors: Mani A, Yadav P, Paliwal VK, Lal H

Abstract
Renal cell carcinoma accounts for 3% of all adult malignancies. Usual sites of metastasis are lymph nodes, lungs, bone, liver and brain. We describe a patient who presented with complaints of holocranial headache and diplopia. MRI of the head showed a clival-based lesion with associated bony erosion. With suspicion of a metastatic lesion, an ultrasonogram of the abdomen was done which showed a left renal mass that enhanced on contrast-enhanced CT. There were no other metastatic foci. Patient underwent radiotherapy for the clival lesion. This case report emphasises on the evaluation of clival lesion with cranial neuropathies for a possibility of a renal primary tumour.

PMID: 28801336 [PubMed - indexed for MEDLINE]

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