Extremely Delayed Multiple Brain Metastases from Renal Cell Carcinoma: Remission Achieved with Total Surgical Removal: Case Report and Literature Review.

Fukushima, Yuta; Yoshikawa, Gakushi; Takasago, Megumi; Shimizu, Seiichiro; Tsutsumi, Kazuo · World Neurosurg · 2016

case_report · Level V

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Abstract

Late brain metastasis from renal cell carcinoma (RCC), which is generally considered as metastasis occurring more than 10 years after nephrectomy, often occurs as a solitary lesion, and total resection is recommended to achieve remission. We describe a rare case of multiple late brain metastases from RCC in a 60-year-old man who presented with 3 brain metastases from RCC 22 years after nephrectomy. Total removal of the 3 lesions achieved remission without adjuvant therapy. Total removal of late brain metastasis from RCC, even occurring with multiple lesions, can achieve total remission under specific conditions.

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