Radiological, pathological and gross correlation of an isolated renal cell carcinoma metastasis to the stomach.

O'Reilly MK, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-220469 DESCRIPTION A 59-year-old asymptomatic woman presented for follow-up CT thorax, abdomen and pelvis (CT-TAP). Fifteen months previously she underwent a left radical nephrectomy for a T1bN0MO, 5.5 cm Fuhrman grade 4 clear cell renal cell carcinoma (CCRCC) (figure 1). The CT-TAP revealed a new 3.6 cm peripherally enhancing, centrally necrotic, intramural lesion in the fundus of the stomach (figure 2). It was decided to biopsy the lesion via oesophago-gastro duodenoscopy (OGD). It was not apparent on direct visualisation of the stomach mucosa, thus confirming its submucosal location. In light of its location, as well as the onset of upper gastrointestinal symptoms, lack of histological diagnosis or evidence of metastatic disease, a laparoscopic sleeve gastrectomy was performed. A tan intramural mass in the fundus of the stomach was Radiological, pathological and gross correlation of an isolated renal cell carcinoma metastasis to the stomach