Intraventricular metastatic clear cell renal carcinoma

• Published in: Romanian journal of morphology and embryology Vol. 54; no. 2; pp. 447 - 450
• Main Authors: Sava, I, Sava, Anca, Şapte, Elena, Mihailov, Claudia, Dumitrescu, Gabriela, Poeată, I, Sava, Florina, Haba, Danisia
• Format: Journal Article
• Language: English
• Published: Romania 2013
• Subjects: Carcinoma, Renal Cell - diagnostic imaging; Carcinoma, Renal Cell - secondary; Cerebral Ventricle Neoplasms - diagnostic imaging; Cerebral Ventricle Neoplasms - secondary; Cerebral Ventriculography; Humans; Kidney Neoplasms - diagnostic imaging; Kidney Neoplasms - pathology; Magnetic Resonance Imaging; Male; Middle Aged; Third Ventricle - pathology; Tomography, X-Ray Computed
• ISSN: 1220-0522

Intraventricular tumors represent a diagnostic problem, due to a wide range of differential diagnosis, with an important variability of tumoral histological types in adult and pediatric population. Patient, Our case is represented by a patient, aged 48 years, without any history of significant personal pathology, accusing nausea, vomiting, and intensive headache. In the morning, he became confused, having hallucinations for a short period of time, and has accused drowsiness for several weeks. Imaging (CT and MRI) shows a neoformation in the third ventricle, accompanied by bilateral lateral ventricles dilatation, with predominantly annular enhancement. During surgery, through the middle third transcallosal interhemispheric approach, it was revealed a reddish, well-demarcated intraventricular mass, well vascularized and with a firm consistency. Final pathologic diagnosis was metastatic clear cell renal carcinoma. Initial postoperative evolution was good, and then neurological and respiratory condition worsened as a bronchopneumonia lead to patient's death in 12 days after surgery. Clear cell carcinoma metastasis located in the third ventricle should be taken into consideration for patients presenting a single intraventricular lesion even they have no documented primary malignancy.