Extremely Delayed Multiple Brain Metastases from Renal Cell Carcinoma: Remission Achieved with Total Surgical Removal

Abstract Background Late brain metastasis from renal cell carcinoma (RCC), which is generally considered as metastasis occurring more than 10 years after nephrectomy, often occurs as solitary lesion, and total resection is recommended to achieve remission. Case Description We describe a rare case of...

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Bibliographic Details
Published inWorld neurosurgery
Main Authors Fukushima, Yuta, M.D, Yoshikawa, Gakushi, M.D., Ph.D, Takasago, Megumi, M.D, Shimizu, Seiichiro, M.D., Ph.D, Tsutsumi, Kazuo, M.D., Ph.D
Format Journal Article
LanguageEnglish
Published 2016
Subjects
Neurosurgery
MR
Magnetic resonance
stereotactic radiosurgery
CT
Late recurrence
RCC
Computed tomography
Renal cell carcinoma
SRS
Brain metastasis
Surgery
LI
Labeling index
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Summary:Abstract Background Late brain metastasis from renal cell carcinoma (RCC), which is generally considered as metastasis occurring more than 10 years after nephrectomy, often occurs as solitary lesion, and total resection is recommended to achieve remission. Case Description We describe a rare case of multiple late brain metastases from RCC in a 60-year-old man who presented with three brain metastases from RCC at 22 years after nephrectomy. Total removal of the three lesions achieved remission without adjuvant therapy. Conclusions Total removal of late brain metastasis from RCC, even occurring with multiple lesions, can achieve total remission under specific conditions.
ISSN:1878-8750
DOI:10.1016/j.wneu.2016.05.065