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Rare disease
CASE REPORT
Renal cell carcinoma metastases to the maxillary sinus
  1. Eugene Hung Chih Wong1,
  2. Nora Tetter1,
  3. Katharina Glatz2,
  4. Yves Brand1
  1. 1Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Basel, Basel, Switzerland
  2. 2Institute of Pathology, Universitatsspital Basel, Basel, Switzerland
  1. Correspondence to Dr Yves Brand, yves.brand{at}unibas.ch

Summary

Metastasis of renal cell carcinoma (RCC) to the head and neck region is rare. We report the case of a 65-year-old man with history of RCC, presented 7 years after nephrectomy, adrenalectomy and lung metastasectomy for his primary tumour, with symptoms of nasal obstruction, postnasal drip, productive cough and pressure sensation in the left maxillary sinus. CT revealed a unilateral, irregular opacification in the left maxillary sinus with bony erosion of the infraorbital canal wall. A yellow cystic lesion was completely removed from the maxillary sinus during functional endoscopic sinus surgery and histopathological analysis confirmed the diagnosis of a metastatic RCC. Patient continued to be managed with his pre-existing treatment for advanced RCC.

  • ear, nose and throat/otolaryngology
  • urological cancer

https://doi.org/10.1136/bcr-2017-220876

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    Footnotes

    • Contributors All authors contributed to this case report. The conception for this work was by YB. YB and NT treated the patient during this hospitalisation in the ENT department. KG performed the histological examination. NT collected the data and EHCW wrote the manuscript. All the coauthors revised the draft critically and approved it for publication.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.