Abstract
We report a case of concurrent uterine cervical adenocarcinoma and renal-cell carcinoma and a subsequent vaginal metastasis from the renal-cell carcinoma. The renal-cell carcinoma, which was located in the upper pole of the right kidney, was detected incidentally by preoperative CT scanning. We simultaneously performed in a timely manner radical hysterectomy, pelvic and paraaortic lymphadenectomies, and a right nephrectomy. Subsequently, however, the patient suffered from vaginal metastasis arising from the renal-cell carcinoma. As a result of this case, we emphasize the importance of making a thorough preoperative assessment prior to performance any definitive surgery for a gynecologic malignancy.
MeSH terms
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Adenocarcinoma / diagnosis
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Adenocarcinoma / pathology*
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Adenocarcinoma / therapy
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Carcinoma, Renal Cell / diagnosis
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Carcinoma, Renal Cell / secondary*
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Carcinoma, Renal Cell / therapy
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Chemotherapy, Adjuvant
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Fatal Outcome
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Female
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Humans
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Hysterectomy
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Kidney / diagnostic imaging
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Kidney / pathology
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Kidney Neoplasms / diagnosis
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Kidney Neoplasms / pathology*
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Kidney Neoplasms / therapy
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Lymph Node Excision
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Lymphatic Metastasis
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Middle Aged
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Neoplasms, Multiple Primary / diagnosis
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Neoplasms, Multiple Primary / pathology*
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Neoplasms, Multiple Primary / therapy
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Nephrectomy
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Radiotherapy, Adjuvant
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Tomography, X-Ray Computed
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Uterine Cervical Neoplasms / diagnosis
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Uterine Cervical Neoplasms / pathology*
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Uterine Cervical Neoplasms / therapy
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Uterine Neoplasms / diagnosis
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Uterine Neoplasms / pathology*
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Uterine Neoplasms / therapy
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Uterus / pathology
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Vaginal Neoplasms / diagnosis
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Vaginal Neoplasms / secondary*
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Vaginal Neoplasms / therapy