Work

Disseminated Metastatic Renal Cell Carcinoma Manifesting With Recurrent Epistaxis: A Case Report and Comprehensive Literature Review

Year: 2025

Type: article

Abstract: Renal cell carcinoma is an aggressive malignancy with up to 30% of patients experiencing metastases. The authors report a case of a patient status post right radical nephrectomy with 6 years of clear surveillance scans seeking evaluation of recurrent epistaxis. A friable, hypervascular mass was discovered on outpatient nasal endoscopy. The mass was surgically removed, and pathology results were consistent with metastatic renal cell carcinoma. Further workup following the operation led to the discovery of disseminated metastases of the malignancy to the scrotum, skin of the back, gluteal musculature, and frontal bones. This unique case of disseminated metastases after many years of negative routine screening demonstrates the importance of interdisciplinary care and routine screenings when managing unforgiving malignancies such as renal cell carcinoma and their insidious manners of metastasis.

Source: Case Reports in Otolaryngology

DOI: 10.1155/crot/7461155

Authors: Andrew J. Rothka, David Goldrich, Sanica Bhele, Johnathan D. McGinn

Institutions: Pennsylvania State University, Penn State Milton S. Hershey Medical Center

Language: English

Topic: Renal cell carcinoma treatment

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $790