Tuesday, April 17, 2012

Occult infiltrating bi-ventricular papillary renal cell carcinoma metastasis found during coronary artery bypass graft surgery


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

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