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Case Reports in Medicine
Volume 2011 (2011), Article ID 671645, 4 pages
Case Report

Renal Cell Carcinoma with Synchronous Metastasis to the Calcaneus and Metachronous Metastases to the Ovary and Gallbladder

1Department of Urology, Düsseldorf University Hospital, 40591 Düsseldorf, Germany
2Department of Urology, University Hospitals KULeuven, 3000 Leuven, Belgium
3Department of Histopathology, University Hospitals KULeuven, 3000 Leuven, Belgium
4Department of Radiology, University Hospitals KULeuven, 3000 Leuven, Belgium

Received 12 May 2011; Revised 12 July 2011; Accepted 10 August 2011

Academic Editor: Valerae O. Lewis

Copyright © 2011 Jasper Decoene et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Renal cell carcinomas (RCCs) are known for their unpredictable metastatic pattern. We present the case of a 63-year-old woman who initially presented in 1992 with a metastasis in the left calcaneus that led to the discovery of RCC. In 1998, a new metastasis was found in the ovary. In 2008, the diagnosis of a gallbladder metastasis was made. All metastases were surgically removed; no additional systemic therapies were used. Aggressive surgical treatment can prolong the survival of patients with resectable metastases. Patterns of metastasis are discussed, and a brief review of the literature is given regarding each localization.