Medical image of the week: metastatic collecting duct carcinoma

Southwest Journal of Pulmonary and Critical Care

Malakkla N¹  Meenakshisundaram C¹ 

[1] St. Francis Hospital, Evanston, IL, USA;

关键词: carcinoma;    kidney;    collecting duct;    metastatic;    metastasis;    CT scan;    pleural effusion;    pleural metastasis;    prognosis;    renal cell carcinoma;   

DOI  :  10.13175/swjpcc160-14

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated after 150 words. A 40-year-old woman home health nurse presented to the ED with intermittent right sided sharp chest pain and progressive dyspnea for 2 weeks. On admission she was found to be in respiratory distress. Chest x-ray revealed a massive right sided pleural effusion. Thoracic CT scan with contrast confirmed a large right pleural effusion with associated enhancing pleural nodularity also involving the diaphragmatic surface (Figure 1).The visualized part of the abdomen revealed a mass in the midpole of right kidney (Figure 2). Subsequent CT scan of the abdomen with contrast revealed a heterogeneous enhancing mass in the right kidney suspicious for malignancy (Figure 3) and multiple paracaval lymph nodes. Thoracentesis revealed a hemorrhagic pleural effusion and during subsequent right video-assisted thoracoscopy showed disseminated tumorlets along the diaphragm and pleura. Pleural biopsy and fluid cytology was consistent with metastatic poorly differentiated collecting duct carcinoma of the kidney. The patient is currently ...

【 授权许可】

Unknown