Author/Editor		Kaneko, Yoshiko; Haraguchi, Norihiro; Kodama, Takahide; Kagohashi, Katsunori; Ishii, Yukio; Satoh, Hiroaki; Sekizawa, Kiyohisa
Title		Endobronchial metastasis as first manifestation of renal cell carcinoma
Translated title		Endobronhialna metastaza kot prvi znak ledvičnega karcinoma
Type		članek
Source		Radiol Oncol
Vol. and No.		Letnik 37, št. 4
Publication year		2003
Volume		str. 217-9
Language		eng
Abstract		Background. In the majority of cases of endobrunchial metastasis, presence of a primary tumour antedated the diagnosis of the metastasis. We showed a case of endobronchial metastasis as first manifestation of renal cell carcinoma. Case report. A 61-year old man was admitted to our hospital complaining of cough of 3 months duration. Chest CT scan showed a polypoid mass in the right upper lobe bronchus. Biopsy of the lesion was obtained, and microscopic examination showed metastatic renal cell carcinoma of the bronchial wall. Conclusions. When endobronchial lesion occurs in the absence of clinical evidence of a primary tumour, appropriate diagnostic studies should be undertaken to exclude the possibility of an asymptomatic extrathoracic tumour.
Summary		Izhodišča. Najbolj pogosto najdemo endobronhialne metastaze po diagnosticiranju primarnega tumorja. Prikazujemo pa redek primer, ko je bila endobronhialna metastaza odkrita pred primarnim tumorjem oz. je bila prvi znak ledvičnega karcinoma. Prikaz primera. 61-letni bolnik se je ob sprejemu v našo bolnišnico pritoževal zaradi 3 mesece trajajočega kašlja. CT preiskava prsnega koša je pokazala polipoidno maso v bronhiju za desni zgornji pljučni reženj. Odvzeli so material za biopsijo in mikroskopski pregled je pokazal, da ima bolnik metastazo ledvičnega karcinoma na steni bronhija. Zaključki. Ko odkrijemo endobronhialne tumorozne spremembe brez kliničnih znakov primarnega tumorja, moramo pomisliti tudi na asimptomatski primarni tumor izven prsnega koša. V takšnih primerih so potrebne vse ustrezne diagnostične preiskave.
Descriptors		KIDNEY NEOPLASMS CARCINOMA, RENAL CELL NEOPLASM METASTASIS BRONCHIAL NEOPLASMS MIDDLE AGE