10 KB83 KB7 KB199220252003Kaneko, Yoshiko3 straniletnik:37številka:4str. 217-219ISSN:1318-2099COBISSID:17382361URN:URN:NBN:SI:doc-SP6Y41UAenAssociation of Radiology and OncologyRadiology and oncology (Ljubljana)Bronchial NeoplasmsBronhialne novotvorbeCarcinoma, Renal CellkarcinomKarcinom ledvičnih celicKidney NeoplasmsLedvica, novotvorbeledvicemetastazeMiddle AgeNeoplasm MetastasisNovotvorba, metastazapljučarak (medicina)SecondarySrednja letaEndobronchial metastasis as first manifestation of renal cell carcinoma|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 tumourIzhodišča. 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 znakledvičnega 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, daima 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 preiskaveTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo radiologije in onkologije