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Case Reports in Otolaryngology
Volume 2013 (2013), Article ID 315157, 3 pages
http://dx.doi.org/10.1155/2013/315157
Case Report

Renal Clear Cell Carcinoma and Tonsil Metastasis

1Organi di Senso Department, Sapienza University of Rome, 00165 Rome, Italy
2Otolaryngology Department, University of L’ Aquila, Italy

Received 12 September 2013; Accepted 26 November 2013

Academic Editors: T. Karosi, K. Morshed, and H. Suzuki

Copyright © 2013 Dario Marcotullio 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.

Abstract

Renal cell carcinoma is the most common renal tumor in adults. Clear cell carcinoma represents 85% of all histological subtypes. In February 2012 a 72-year-old woman came to our department due to the appearance of massive hemoptysis and pharyngodinia. Previously, this patient was diagnosed with a renal cell carcinoma treated with left nephrectomy. We observed an exophytic, grayish, and ulcerated mass in the left tonsillar lodge and decided to subject the patient to an immediate tonsillectomy. Postoperative histology showed nests of cells with highly hyperchromatic nuclei and clear cytoplasm. These features enabled us to make the diagnosis of renal clear cell carcinoma metastasis. Only few authors described metastasis of renal cell carcinoma in this specific site.