Renal Cell Carcinoma with Thyroid and Bilateral Adrenal Gland Metastases

Öz

Renal cell carcinoma is the most common type of malignant kidney disease, representing more than 90% of cases. It frequently metastasizes to the lungs, bones, liver and brain. Thyroid and adrenal metastases are rare. In this case report, we present a 64-year-old man with renal cell carcinoma who developed bilateral adrenal metastases three years after right radical nephrectomy and thyroid metastases five years later. Renal cell carcinoma has a high metastasis rate and requires careful follow-up. The increasing use of non-invasive imaging modalities has increased the detection rates of rare adrenal and thyroid metastases. Due to the rarity of such cases, standard treatment protocols are not well defined, emphasizing the need for careful follow-up even years after surgery.

Anahtar Kelimeler

• Renal cell carcinoma
• thyroid
• adrenal
• metastasis

Tiroid ve Bilateral Adrenal Gland Metastazı olan Renal Hücreli Karsinom

Öz

Renal hücreli karsinom, vakaların %90’ından fazlasını temsil eden en yaygın malign böbrek hastalığı türüdür. Sıklıkla akciğerlere, kemiklere, karaciğere ve beyne metastaz yapar. Tiroid ve adrenal metastazlar nadirdir. Bu vaka raporunda, sağ radikal nefrektomiden üç yıl sonra iki taraflı adrenal metastaz ve beş yıl sonra tiroid metastazı gelişen renal hücreli karsinomlu 64 yaşındaki bir erkek hasta sunduk. Renal hücreli karsinomun yüksek metastaz oranı vardır ve dikkatli takip gerektirir. Non-invaziv görüntüleme yöntemlerinin artan kullanımı ile nadir görülen adrenal ve tiroid metastazlarının da tespit oranlarını artırmıştır. Bu tür vakaların nadir olması nedeniyle standart tedavi protokolleri iyi tanımlanmamıştır; bu da ameliyattan yıllar sonra bile dikkatli bir izlemenin gerekliliğini vurgulamaktadır.

Anahtar Kelimeler

• Renal hücreli karsinom
• tiroid
• adrenal
• metastaz

Kaynakça

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