Lingual metastasis as an initial presentation of renal cell carcinoma: a case report

Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a...
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Autor*in:	Raiss, Hanan [verfasserIn] Duplomb, Sophie Tartas, Sophie Layachi, Mohamed Errihani, Hassan

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2017

Schlagwörter:	Renal cell carcinoma Tongue metastasis Lingual metastasis Sarcomatoid component

Anmerkung:	© The Author(s). 2017

Übergeordnetes Werk:	Enthalten in: Journal of medical case reports - London : BioMed Central, 2007, 11(2017), 1 vom: 07. Nov.
Übergeordnetes Werk:	volume:11 ; year:2017 ; number:1 ; day:07 ; month:11

Links:	Volltext

DOI / URN:	10.1186/s13256-017-1470-5

Katalog-ID:	SPR031068944

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520			\|a Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. Conclusion Tongue lesions require a complete assessment to distinguish a metastasis from a primary cancer in order to give the appropriate treatment.
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allfields	10.1186/s13256-017-1470-5 doi (DE-627)SPR031068944 (SPR)s13256-017-1470-5-e DE-627 ger DE-627 rakwb eng Raiss, Hanan verfasserin aut Lingual metastasis as an initial presentation of renal cell carcinoma: a case report 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. Conclusion Tongue lesions require a complete assessment to distinguish a metastasis from a primary cancer in order to give the appropriate treatment. Renal cell carcinoma (dpeaa)DE-He213 Tongue metastasis (dpeaa)DE-He213 Lingual metastasis (dpeaa)DE-He213 Sarcomatoid component (dpeaa)DE-He213 Duplomb, Sophie aut Tartas, Sophie aut Layachi, Mohamed aut Errihani, Hassan aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 11(2017), 1 vom: 07. Nov. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:11 year:2017 number:1 day:07 month:11 https://dx.doi.org/10.1186/s13256-017-1470-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 1 07 11
spelling	10.1186/s13256-017-1470-5 doi (DE-627)SPR031068944 (SPR)s13256-017-1470-5-e DE-627 ger DE-627 rakwb eng Raiss, Hanan verfasserin aut Lingual metastasis as an initial presentation of renal cell carcinoma: a case report 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. Conclusion Tongue lesions require a complete assessment to distinguish a metastasis from a primary cancer in order to give the appropriate treatment. Renal cell carcinoma (dpeaa)DE-He213 Tongue metastasis (dpeaa)DE-He213 Lingual metastasis (dpeaa)DE-He213 Sarcomatoid component (dpeaa)DE-He213 Duplomb, Sophie aut Tartas, Sophie aut Layachi, Mohamed aut Errihani, Hassan aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 11(2017), 1 vom: 07. Nov. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:11 year:2017 number:1 day:07 month:11 https://dx.doi.org/10.1186/s13256-017-1470-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 1 07 11
allfields_unstemmed	10.1186/s13256-017-1470-5 doi (DE-627)SPR031068944 (SPR)s13256-017-1470-5-e DE-627 ger DE-627 rakwb eng Raiss, Hanan verfasserin aut Lingual metastasis as an initial presentation of renal cell carcinoma: a case report 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. Conclusion Tongue lesions require a complete assessment to distinguish a metastasis from a primary cancer in order to give the appropriate treatment. Renal cell carcinoma (dpeaa)DE-He213 Tongue metastasis (dpeaa)DE-He213 Lingual metastasis (dpeaa)DE-He213 Sarcomatoid component (dpeaa)DE-He213 Duplomb, Sophie aut Tartas, Sophie aut Layachi, Mohamed aut Errihani, Hassan aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 11(2017), 1 vom: 07. Nov. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:11 year:2017 number:1 day:07 month:11 https://dx.doi.org/10.1186/s13256-017-1470-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 1 07 11
allfieldsGer	10.1186/s13256-017-1470-5 doi (DE-627)SPR031068944 (SPR)s13256-017-1470-5-e DE-627 ger DE-627 rakwb eng Raiss, Hanan verfasserin aut Lingual metastasis as an initial presentation of renal cell carcinoma: a case report 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. Conclusion Tongue lesions require a complete assessment to distinguish a metastasis from a primary cancer in order to give the appropriate treatment. Renal cell carcinoma (dpeaa)DE-He213 Tongue metastasis (dpeaa)DE-He213 Lingual metastasis (dpeaa)DE-He213 Sarcomatoid component (dpeaa)DE-He213 Duplomb, Sophie aut Tartas, Sophie aut Layachi, Mohamed aut Errihani, Hassan aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 11(2017), 1 vom: 07. Nov. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:11 year:2017 number:1 day:07 month:11 https://dx.doi.org/10.1186/s13256-017-1470-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 1 07 11
allfieldsSound	10.1186/s13256-017-1470-5 doi (DE-627)SPR031068944 (SPR)s13256-017-1470-5-e DE-627 ger DE-627 rakwb eng Raiss, Hanan verfasserin aut Lingual metastasis as an initial presentation of renal cell carcinoma: a case report 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. Conclusion Tongue lesions require a complete assessment to distinguish a metastasis from a primary cancer in order to give the appropriate treatment. Renal cell carcinoma (dpeaa)DE-He213 Tongue metastasis (dpeaa)DE-He213 Lingual metastasis (dpeaa)DE-He213 Sarcomatoid component (dpeaa)DE-He213 Duplomb, Sophie aut Tartas, Sophie aut Layachi, Mohamed aut Errihani, Hassan aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 11(2017), 1 vom: 07. Nov. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:11 year:2017 number:1 day:07 month:11 https://dx.doi.org/10.1186/s13256-017-1470-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 1 07 11
language	English
source	Enthalten in Journal of medical case reports 11(2017), 1 vom: 07. Nov. volume:11 year:2017 number:1 day:07 month:11
sourceStr	Enthalten in Journal of medical case reports 11(2017), 1 vom: 07. Nov. volume:11 year:2017 number:1 day:07 month:11
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Renal cell carcinoma Tongue metastasis Lingual metastasis Sarcomatoid component
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container_title	Journal of medical case reports
authorswithroles_txt_mv	Raiss, Hanan @@aut@@ Duplomb, Sophie @@aut@@ Tartas, Sophie @@aut@@ Layachi, Mohamed @@aut@@ Errihani, Hassan @@aut@@
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Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. 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topic_title	Lingual metastasis as an initial presentation of renal cell carcinoma: a case report Renal cell carcinoma (dpeaa)DE-He213 Tongue metastasis (dpeaa)DE-He213 Lingual metastasis (dpeaa)DE-He213 Sarcomatoid component (dpeaa)DE-He213
topic	misc Renal cell carcinoma misc Tongue metastasis misc Lingual metastasis misc Sarcomatoid component
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title	Lingual metastasis as an initial presentation of renal cell carcinoma: a case report
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title_full	Lingual metastasis as an initial presentation of renal cell carcinoma: a case report
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title_sort	lingual metastasis as an initial presentation of renal cell carcinoma: a case report
title_auth	Lingual metastasis as an initial presentation of renal cell carcinoma: a case report
abstract	Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. Conclusion Tongue lesions require a complete assessment to distinguish a metastasis from a primary cancer in order to give the appropriate treatment. © The Author(s). 2017
abstractGer	Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. Conclusion Tongue lesions require a complete assessment to distinguish a metastasis from a primary cancer in order to give the appropriate treatment. © The Author(s). 2017
abstract_unstemmed	Background Renal cell carcinoma is the third most common tumor that metastasizes to the head and neck, after breast and lung carcinomas. Tongue metastasis as an initial presentation of renal cell carcinoma is extremely rare, and very few cases have been reported. The prognosis is poor. We present a rare case of metastatic renal cell carcinoma that initially presented as a tongue lesion. Case presentation We report the case of a 55-year-old white man who presented with a large exophytic lesion on his tongue. A biopsy was taken, and pathologic examination showed a poorly differentiated carcinoma including a sarcomatoid component. Subtotal glossectomy with neck dissection were planned, but a positron emission tomographic-computed tomography scan showed a left kidney mass. Immunohistochemical evaluation of the tongue lesion was performed, and it was compatible with metastasis from primary renal cell carcinoma. The biopsy of the renal lesion showed a high-grade unclassified renal cell carcinoma. Although our patient underwent systemic therapy, he died of hemorrhagic complications 3 months after the initiation of therapy. Conclusion Tongue lesions require a complete assessment to distinguish a metastasis from a primary cancer in order to give the appropriate treatment. © The Author(s). 2017
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title_short	Lingual metastasis as an initial presentation of renal cell carcinoma: a case report
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Lingual metastasis as an initial presentation of renal cell carcinoma: a case report

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