Papillary renal cell carcinoma with synchronous ovarian metastasis: a rare entity

Description

A 45-year-old woman presented with left-lower abdominal lump for the last 3 months. On examination, she had a palpable lump in the left iliac region, 10 cm in size, firm, non-tender and mobile. Incidentally, another lump was palpable in her left flank which was ballotable. Ultrasonography revealed the presence of a large adnexal mass and showed a concomitant left renal mass. Contrast-enhanced computed tomography abdomen revealed the presence of heterogeneously enhancing space occupying lesion in the mid and lower pole of the left kidney (10.6x8.8x9.0 cm) and a large heterogeneously enhancing lesion was seen in the left adnexal region (11.7x8.7x12.2 cm) (figure 1). Para-aortic lymph nodes were enlarged. Cancer antigen (CA) 125 levels were 170 U/mL.

Figure 1

Contrast-enhanced computed tomography abdomen showing concomitant renal and ovarian mass (renal mass marked by yellow arrow, ovarian tumour marked by red arrow).

Patient underwent open left radical nephrectomy and excision of the...

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