Solitary Axillary Lymph Node Metastasis: A Rare Manifestation Of Renal Cell Carcinoma 1580-1582
Dr Hilda Fernandes,Dept of Pathology, Fr Muller Medical College, Mangalore (INDIA). Eemail@example.com
Renal cell carcinoma is (RCC) is notorious for presenting as metastatic carcinoma of unknown primary sites and sometimes at unusual sites. RCC presenting as solitary metastatic lesions are about 1-3%.
A 60 year old woman presented with an axillary lump of 2 weeks duration. FNAC revealed a diagnosis of metastatic adenocarcinoma.The protocol followed for the search for the primary detected a tumour in the right kidney. No other metastases were detected. The patient underwent radical nephrectomy and axillary clearance.
Axillary lymph node metastasis, an uncommon site for distant metastasis, as a first clinical sign leading to the diagnosis is rare. FNAC is a simple, quick and easy procedure for diagnosing metastatic lesions. It can guide the clinician to investigate for the possible site of the primary tumour. Complete resection of solitary metastases is justified and can contribute to long term survival.