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Eur J Cardiothorac Surg 2007;31:132-134. doi:10.1016/j.ejcts.2006.10.025
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Intrapulmonary lymph node metastasis and renal cell carcinoma

Jalal Assouad, Marc Riquet*, Pascal Berna, Claire Danel

Service de Chirurgie Thoracique, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75908 Paris, Cedex 15, France

Received 24 July 2006; received in revised form 17 October 2006; accepted 22 October 2006.

* Corresponding author. Tel.: +33 1 56 09 34 50; fax: +33 1 56 09 33 80. (Email: marc.riquet{at}hop.egp.ap-hop-paris.fr).

Intrapulmonary lymph node metastasis occuring after nephrectomy for renal cell carcinoma is a particular recurrence modality. Authors report two male patients presenting with this recurrence 2 and 4 years after treatment of the primary and who underwent surgery. Surgery confirmed the diagnosis and demonstrated station 7 minimal metastases and positive pleural lavage cytology in both patients. The first patient survived 2 years and the second was alive disease free at 33 months follow-up. Such metastases probably originate from the thoracic duct. Resection confirms the diagnosis and may be part of the treatment.

Key Words: Renal cell carcinoma • Lung metastases • Lymph node metastases • Thoracic duct • Surgery




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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.