We have reported the first case of metastatic papillary RCC
to the heart found incidentally during coronary artery bypass
surgery. These metastases were not apparent on computerized chest tomography or echocardiography, therefore, the incidence of patients with papillary RCC with isolated cardiac metastases is unknown. For patients with isolated unresectable cardiac metastases from papillary RCC, one reasonable treatment approach is cytoreductive surgery followed by systemic therapy with either sunitinib or temsirolimus.
However, further research with more numbers and more long-term follow-up is needed to make any conclusions.
Cite as: Can Urol Assoc J 2012;6(2):e54-56. http://dx.doi.org/10.5489/cuaj.11144