A case of pulmonary metastasis of renal cell carcinoma twentyeight years after nephrectomy

Abstract

A 65-year-old woman was admitted to our department due to a pulmonary nodule and mediastinal mass on screening chest X-ray film. 28years previously a right nephrectomy had been performed with a diagnosis of renal cell carcinoma. A frozen section on diagnostic thoracotomy revealed pulmonary metastasis of renal cell carcinoma. Wedge pulmonary resection and mediastinal lymph node dissection were performed. Pathological diagnosis was pulmonary and mediastinal lymph node metastasis of renal cell carcinoma, clear cell type. The patient is doing well without recurrence for four years.