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Management of solitary palatal metastasis from renal cell carcinoma
Manish Kohli1, Robert Schaefer
1James P Wilmot Cancer Center, University of Rochester, Rochester, NY, USA. manish_kohli@urmc.rochester.edu
Background:
A 68-year-old male diagnosed with left-side renal cell carcinoma, and in clinical remission for 3 years following a nephrectomy, presented with a 2-month history of progressive difficulty in swallowing, accompanied by a new growth in the palate. Examination revealed a 25 mm x 25 mm soft-tissue growth at the junction of the hard and soft palate. Systemic examination did not reveal any other evidence of cancer progression.
Investigations:
CT scans, nasopharyngoscopy, fine-needle aspiration of palatal lesion and immunohistochemistry of biopsy specimen.
Diagnosis:
Solitary palatal metastasis at the junction of the hard and soft palate from renal cell carcinoma.
Management:
Local, lesion-directed interferon therapy, repeat nasopharyngoscopy and regular clinical follow-up.