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Liver metastasis in renal chondrosarcoma.
D Mehanna1, F M Abu-Zidan, S Rao
1Department of Surgery, Royal Perth Hospital, Box 2213 GPO, Perth 6847, Western Australia, Australia.
Singapore Medical Journal
|April 20, 2004
Summary
This case study highlights a rare instance of renal chondrosarcoma metastasis to the liver 18 years post-surgery. Palliative surgery provided symptomatic relief for the patient with a large tumor burden.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Renal chondrosarcoma is a rare malignant tumor originating in the kidney.
- Metastasis from renal tumors, particularly chondrosarcoma, to the liver is uncommon and often presents late.
Observation:
- A 39-year-old woman, 18 years post-nephrectomy for renal chondrosarcoma, presented with a large epigastric mass and jaundice.
- Imaging revealed extensive liver involvement by the metastatic tumor.
- The patient experienced significant dyspnea and chest pressure due to the tumor burden.
Findings:
- Histopathology confirmed hepatic metastasis consistent with the original renal chondrosarcoma.
- Multiple non-anatomical tumor resections were performed, including large masses from various liver segments.
- The largest resected mass weighed 2.5kg and measured 15cm in diameter.
Implications:
- This case underscores the potential for slow growth and late metastasis of renal chondrosarcoma.
- Palliative surgical debulking can offer symptomatic relief and improve quality of life, even with extensive disease.
- Highlights the importance of long-term surveillance for patients with rare renal malignancies.