A case of renal cell carcinoma with late recurrence in the bilateral hilar lymph nodes twenty years after surgery

Yusuke Sakurai; Hiroyuki Matsuura; Yuri Oshima; Kaho Hirai; Eriko Tani; Naoki Yoshimoto; Kenichi Minami; Kenichi Wakasa; Tomonori Hirashima

doi:10.1016/j.rmcr.2022.101617

A case of renal cell carcinoma with late recurrence in the bilateral hilar lymph nodes twenty years after surgery

Respir Med Case Rep. 2022 Feb 22:36:101617. doi: 10.1016/j.rmcr.2022.101617. eCollection 2022.

Authors

Yusuke Sakurai¹, Hiroyuki Matsuura¹, Yuri Oshima¹, Kaho Hirai¹, Eriko Tani¹, Naoki Yoshimoto¹, Kenichi Minami¹, Kenichi Wakasa², Tomonori Hirashima³

Affiliations

¹ Department of Respiratory Medicine, Ishikiriseiki Hospital, Osaka, Japan.
² Department of Pathology, Ishikiriseiki Hospital, Osaka, Japan.
³ Department of Thoracic Oncology, Ishikiriseiki Hospital, Osaka, Japan.

Abstract

Renal cell carcinoma (RCC) is a common malignancy with a high recurrence rate. However, brain and bilateral hilar lymph node (BHL) relapse is rare. A 65-year-old man with a chief complaint of hemosputum visited the primary care clinic. Computed tomography revealed BHL enlargement. Histopathological examination of biopsy specimens from the left lingular bronchus revealed RCC. This finding was similar to that of a left nephrectomy specimen of RCC observed 20 years ago. If patients have a medical history of RCC, physicians should consider the possibility of RCC recurrence, regardless of the number of years relapsed postoperatively.

Keywords: BHL, bilateral hilar lymph nodes; Bilateral hilar lymph nodes; CT, computed tomography; EBUS-TBNA, endobronchial ultrasound-guided transbronchial needle aspiration; FDG-PET, fluorodeoxyglucose-positron emission tomography; Late recurrence; RCC, renal cell carcinoma; Renal cell carcinoma.

Publication types

Case Reports