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[Renal metastasis of hepatocellular carcinoma]
E Sanz Mayayo1, T Mayayo Dehesa, I Gómez García
1Servicio de Urología, Hospital Ramón y Cajal, Madrid.
Objective:
To report the case of a solitary renal metastasis secondary to hepatocellular carcinoma.
Methods:
We report the case of a 51 year old patient who on abdominal ultrasonography was revealed a left renal tumour and a hepatic mass incidentally. A TAC showed the left renal tumor measuring 17 cm in size, possible involvement of left renal vein and a tumour mass in the right lobe of the liver. A TAC guided fine needle punction aspiration biopsy demonstrated a malignant hepatic lesion compatible with hepatocarcinoma, and malignant renal cells compatible with renal or adrenal carcinoma. Left radical nephrectomy and right hepatectomy was performed.
Results:
Histopathologic study confirmed the diagnosis of moderately differentiated trabecular hepatocarcinoma with lymph node and left renal metastasis.