Pulsatile Clavicular Swelling as the Sole Presentation of Asymptomatic Renal Cell Carcinoma with an Isolated Metastasis to the Clavicle: A Case Report
Published: December 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/23220.9064
Ashwani Kumar, Nitish Arora, Paras Kumar Pandove, Garima Anand, Bharti Arora
1. Professor, Department of General Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.
2. Postgraduate Trainee, Department of General Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.
3. Associate Professor, Department of General Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.
4. Postgraduate Trainee, Department of Pathology, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.
5. Postgraduate Trainee, Department of General Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.
Correspondence
Dr. Nitish Arora,
Doctor Hostel Rajindra Hospital Patiala -147001, Punjab, India.
E-mail: arora.nitish999@gmail.com
Renal Cell Carcinoma (RCC) is notorious for its unpredictable dissemination patterns involving both lymphatic and haematogenous route without a clear-cut preponderance for any. Unlike other intra-abdominal malignancies like colorectal carcinoma, renal cell carcinoma is often known to metastasize to distant sites even after a confident and unsuspecting curative resection or often as the primary presentation constantly adding and agitating our presentation patterns for this sneaky tumour. Presented below is a case of such an unsuspecting female patient. She was referred from the orthopaedic OPD to surgery OPD with a right clavicular swelling which was histopathologically examined and diagnosed as a metastatic renal cell carcinoma following which she was diagnosed with right renal cell carcinoma.
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