Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

Intramasseteric Metastasis of Renal Cell Carcinoma: Case Report

교근 내로 전이된 신세포암의 치험례

  • Park, Gun-Chan (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Yoon, Kyu-Ho (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Park, Kwan-Soo (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Cheong, Jeong-Kwon (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Bae, Jung-Ho (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Park, Jae-An (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Min, Sung-Chang (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Sin, Jae-Myung (Department of Oral and Maxillofacial Surgery, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Baik, Jee-Sun (Department of Oral and Maxillofacial Surgery, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Hyun-Jung (Department of Pathology, Sanggye Paik Hospital, Inje University College of Medicine)
  • 박군찬 (인제대학교 의과대학 상계백병원 구강안악면외과학교실) ;
  • 윤규호 (인제대학교 의과대학 상계백병원 구강안악면외과학교실) ;
  • 박관수 (인제대학교 의과대학 상계백병원 구강안악면외과학교실) ;
  • 정정권 (인제대학교 의과대학 상계백병원 구강안악면외과학교실) ;
  • 배정호 (인제대학교 의과대학 상계백병원 구강안악면외과학교실) ;
  • 박재안 (인제대학교 의과대학 상계백병원 구강안악면외과학교실) ;
  • 민성창 (인제대학교 의과대학 상계백병원 구강안악면외과학교실) ;
  • 신재명 (인제대학교 의과대학 일산백병원 구강악안면외과학교실) ;
  • 백지선 (인제대학교 의과대학 일산백병원 구강악안면외과학교실) ;
  • 김현정 (인제대학교 의과대학 상계백병원 진단병리과학교실)
  • Received : 2011.08.05
  • Accepted : 2011.10.04
  • Published : 2012.01.30
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Abstract

Renal cell carcinoma (RCC) is the most frequent urological malignant tumor in adults and it occurs mostly between the fifth and the sixth decades of life. The male-female ratio is 3:1 and it is more common in smokers. It accounts for approximately 3% of adult malignancies; 90~95% of neoplasms of the kidney. The classic triad of presenting symptoms of RCC is hematuria, back pain and a mass in the flank. More than 50% of RCCs show metastasis to breast, lung and regional lymph nodes, and 15% present in the orofacialmaxillary region. This case is about a 66 year-old man who was treated for painless swelling in the left masseteric area. The mass was surgically excised and sent for biopsy. It was diagnosed as RCC and two weeks later nephronectomy of the left kidney was performed. Metastasis to other organs was detected and the patient received radiation therapy. In this case we were able to find the primary lesion by the metastatic lesion.

Keywords

References

  1. al-Kassab BM, Foster ME. Recurrent facial metastasis from renal-cell carcinoma: review of the literature and case report. J Oral Maxillofac Surg 1995;53:74-7. https://doi.org/10.1016/0278-2391(95)90508-1
  2. Yiotakis J, Hantzakos A, Kostakopoulos A, Adamopoulos G. Intramasseteric metastasis of renal cell carcinoma. J Laryngol Otol 2001;115:65-7.
  3. Spreafico R, Nicoletti G, Ferrario F, Scanziani R, Grasso M. Parotid metastasis from renal cell carcinoma: a case report and review of the literature. Acta Otorhinolaryngol Ital 2008;28:266-8.
  4. Pires FR, Azevedo RS, Ficarra G, et al. Metastatic renal cell carcinoma to the oral cavity and clear cell mucoepidermoid carcinoma: comparative clinicopathologic and immunohistochemical study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:e22-7. https://doi.org/10.1016/j.tripleo.2009.12.006
  5. Hirshberg A, Shnaiderman-Shapiro A, Kaplan I, Berger R. etastatic tumours to the oral cavity - pathogenesis and analysis of 673 cases. Oral Oncol 2008;44:743-52. https://doi.org/10.1016/j.oraloncology.2007.09.012
  6. Sabo R, Sela M, Sabo G, Herskovitz P, Feinmesser R. Metastatic hypernephroma to the head and neck: unusual case reports and review of the literature. J Otolaryngol 2001;30:140-4. https://doi.org/10.2310/7070.2001.19965
  7. Jayasooriya PR, Gunarathna IANS, Attygalla AM, Tilakaratne WM. Metastatic renal cell carcinoma presenting as a clear cell tumour in the head and neck region. Oral Oncol Extra 2004;40:50-3. https://doi.org/10.1016/j.ooe.2003.12.005
  8. Azam F, Abubakerr M, Gollins S. Tongue metastasis as an initial presentation of renal cell carcinoma: a case report and literature review. J Med Case Reports 2008;2:249. https://doi.org/10.1186/1752-1947-2-249
  9. Aguirre A, Rinaggio J, Diaz-Ordaz E. Lingual metastasis of renal cell carcinoma. J Oral Maxillofac Surg 1996;54:344-6. https://doi.org/10.1016/S0278-2391(96)90757-0
  10. Mejean A, Oudard S, Thiounn N. Prognostic factors of renal cell carcinoma. J Urol 2003;169:821-7. https://doi.org/10.1097/01.ju.0000051378.14270.2a
  11. Bottiger LE. Prognosis in renal carcinoma. Cancer 1970;26:780-7. https://doi.org/10.1002/1097-0142(197010)26:4<780::AID-CNCR2820260406>3.0.CO;2-X
  12. Hirshberg A, Buchner A. Metastatic tumours to the oral region. An overview. Eur J Cancer B Oral Oncol 1995;31B:355-60.
  13. Frank I, Blute ML, Cheville JC, Lohse CM, Weaver AL, Zincke H. An outcome prediction model for patients with clear cell renal cell carcinoma treated with radical nephrectomy based on tumor stage, size, grade and necrosis: the SSIGN score. J Urol 2002;168:2395-400. https://doi.org/10.1016/S0022-5347(05)64153-5
  14. Li L, Friedrich RE, Schmelzle R, Donath K. Metachronous bilateral metastases of renal cell carcinoma to the parotid region. J Oral Maxillofac Surg 2001;59:434-8. https://doi.org/10.1053/joms.2001.21894
  15. Sheir KZ, El-Azab M, Mosbah A, El-Baz M, Shaaban AA. Differentiation of renal cell carcinoma subtypes by multislice computerized tomography. J Urol 2005;174:451-5. https://doi.org/10.1097/01.ju.0000165341.08396.a9