• World Neurosurg · Aug 2016

    Review Case Reports

    Extremely Delayed Multiple Brain Metastases from Renal Cell Carcinoma: Remission Achieved with Total Surgical Removal.

    • Yuta Fukushima, Gakushi Yoshikawa, Megumi Takasago, Seiichiro Shimizu, and Kazuo Tsutsumi.
    • Department of Neurosurgery, Showa General Hospital, Kodaira, Tokyo, Japan. Electronic address: fukushima-tky@umin.ac.jp.
    • World Neurosurg. 2016 Aug 1; 92: 583.e13-583.e17.

    BackgroundLate brain metastasis from renal cell carcinoma (RCC), which is generally considered as metastasis occurring more than 10 years after nephrectomy, often occurs as a solitary lesion, and total resection is recommended to achieve remission.Case DescriptionWe describe a rare case of multiple late brain metastases from RCC in a 60-year-old man who presented with 3 brain metastases from RCC 22 years after nephrectomy. Total removal of the 3 lesions achieved remission without adjuvant therapy.ConclusionsTotal removal of late brain metastasis from RCC, even occurring with multiple lesions, can achieve total remission under specific conditions.Copyright © 2016 Elsevier Inc. All rights reserved.

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