Brain metastases in renal cell cancer: diagnostic and therapeutic aspects

Am J Clin Oncol. 2004 Dec;27(6):632-4. doi: 10.1097/01.coc.0000146017.74327.7c.

Abstract

A 67-year-old patient with metastatic renal cell cancer was treated with fractionated stereotactic radiotherapy to a hemorrhagic pons metastasis. He then developed multiple cystic brain lesions, suggestive of diffuse metastatic spread. However, further work-up revealed abscesses from bronchopneumonia. Diagnostic and therapeutic aspects as well as potential pitfalls in the management of patients with brain metastases are discussed.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antineoplastic Agents, Hormonal / therapeutic use
  • Brain Abscess / complications
  • Brain Neoplasms / complications
  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / radiotherapy*
  • Brain Neoplasms / secondary*
  • Bronchopneumonia / complications
  • Combined Modality Therapy
  • Dexamethasone / therapeutic use
  • Fatal Outcome
  • Humans
  • Kidney Neoplasms / complications
  • Kidney Neoplasms / pathology*
  • Lung Neoplasms / complications
  • Lung Neoplasms / radiotherapy
  • Lung Neoplasms / secondary
  • Male

Substances

  • Antineoplastic Agents, Hormonal
  • Dexamethasone