Gastric Metastasis from Renal Cell Carcinoma, Clear Cell Type, Presenting with Gastrointestinal Bleeding

Abstract EN

Renal cell carcinoma (RCC) accounts for 80–85% of all primary renal neoplasms.

Although RCC can metastasize to any organ, gastric metastases from RCC are exceedingly rare.

A 67-year-old male presented with melena and acute blood loss anemia.

The patient had a history of RCC that had been treated with a radical nephrectomy.

He had a recent myocardial infarction and was receiving double antiplatelet therapy.

After hemodynamic stabilization, esophagogastroduodenoscopy showed a polypoid mass in the gastric fundus.

The mass was excised.

Histological and immunohistochemical evaluation were consistent with clear cell RCC.

The polypoid lesion is consistent with a late solitary metastasis.