Thyroid, uncommon metastatic site for renal cell carcinoma – practical challenges

R. Pintican, M. Mureşan, A. Chiorean, V. Bintintan, V. Bura, M. Duma
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Abstract

Renal cell carcinoma (RCC) is notorious for its uncommon metastatic location. We present a rare case of goiter as a RCC metastatic site. As case particularities, besides the goiter that made practically impossible the ultrasound diagnosis of the metastasis, this seemed to be correlated with an unexplained high level of alkaline phosphatase (AP). AP persisted from the time of kidney cancer diagnosis, after nephrectomy and reached a normal value only after thyroidectomy. Currently, there are no guidelines to indicate FDG-PET in RCC patients. Thereby, we will present the challenging ultrasound diagnosis together with case management particularities.
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甲状腺,罕见的肾细胞癌转移部位-实际的挑战
肾细胞癌(RCC)因其罕见的转移部位而臭名昭著。我们提出一个罕见的病例甲状腺肿作为一个转移部位的肾细胞癌。作为病例的特殊性,除了甲状腺肿大使得超声诊断几乎不可能转移外,这似乎与无法解释的高水平碱性磷酸酶(AP)有关。AP从肾癌诊断到肾切除术后持续存在,仅在甲状腺切除术后才达到正常值。目前,对于RCC患者,尚无FDG-PET的指导方针。因此,我们将提出具有挑战性的超声诊断与病例管理的特殊性。
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