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Vaginal metastasis of renal clear-cell cancer
Amel Rehailia-Blanchard1, Adekube Morel2, Chloé Rancoul1
1Dept. of Radiotherapy, Lucien Neuwirth Cancer Institute, Saint Priest en Jarez, France.
Background:
Vaginal metastases originating from renal cancer remain a rare event, with less than 100 cases reported in the literature. The spreading mechanism is still under scrutiny. The tumoral bleeding often is a symptom revealing vaginal metastases.
Case:
The present work reports patient case having vaginal metastasis of renal clear-cell cancer. The vaginal metastasis was treated by a 3-D conformational radiotherapy. Our experience is discussed with respect to an updated literature review concerning the medical management of vaginal metastasis related to kidney cancer.
Conclusion:
In our case, a 15 Gy hypofractionatedradiotherapy is efficient to control bleeding on the vaginal metastases of the kidney cancer. To add up a 15 Gy hypofractionated-radiotherapy in 5 fractions is an option if bleeding is still present. The tolerance of the treatment is excellent and no side effects have been described.
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