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Tumor-to-tumor spread: a case report and literature review of renal cell carcinoma metastasis into thyroid cancer

WORLD JOURNAL OF SURGICAL ONCOLOGY (2023)

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Summary: Tumor-to-tumor metastasis is a rare event that requires accurate identification by pathologists. It can be straightforward to identify when the tumors have different histologies, but can be challenging when two carcinomas with similar cytoarchitecture are present, one inside the other under the microscope. In this study, we report four cases involving clear cell renal cell carcinoma and highlight the difficulties in recognizing some of them. An appropriate clinical-pathological correlation, including a review of the patient's history and radiological exams, would greatly aid in routine identification of tumor-to-tumor metastases.

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Summary: This study reviewed the clinical and immunohistochemical features of metastatic clear cell renal cell carcinoma (RCC) in the thyroid gland. It found that this condition is rare and usually occurs remotely after the initial diagnosis. Cytological and histological features may overlap with primary thyroid lesions, but immunohistochemistry can help distinguish them reliably.

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Summary: There is a significant interrelation between the thyroid gland and the kidney parenchyma, with dysfunction of one affecting the metabolism of the other. The increase in thyroid tumors and their association with various malignancies, such as breast cancer, prostate cancer, and colorectal cancer, increases the risk of kidney disease. A systematic review of 18 studies highlighted patient characteristics, treatment, and follow-up, showing a potential strong association between genetic susceptibility and secondary malignancy.

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Tumor-to-Tumor Metastasis of Renal Cell Carcinoma to a Follicular Variant of Papillary Thyroid Carcinoma: A Case Report and Literature Review

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Summary: Renal cell carcinoma (RCC) is a common renal malignancy with the potential to metastasize to unusual sites, such as the thyroid gland. This case report highlights the rarity of tumor-to-tumor metastasis, with RCC metastasizing to a follicular variant of papillary thyroid carcinoma (FVPTC). Further studies and immunohistochemical analysis are necessary for the diagnosis of such unusual cases.

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Summary: Metastasis to the thyroid gland is a rare phenomenon with an incidence of 0.36% in all thyroid malignancies, presenting as a solitary thyroid mass before the discovery of the primary tumor, posing a diagnostic challenge. Although the overall prognosis is poor, a subset of patients with oligometastasis can be managed surgically.

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Thyroid gland metastasis from renal cell carcinoma: a case series and literature review

Richard Tjahjono et al.

Summary: Thyroid metastases from RCC have a better prognosis and can occur long after nephrectomy. Thyroidectomy should be considered to prevent the development of central neck disease.

ANZ JOURNAL OF SURGERY (2021)

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Review Oncology

Epidemiology of Renal Cell Carcinoma

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WORLD JOURNAL OF ONCOLOGY (2020)

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WORLD JOURNAL OF CLINICAL CASES (2019)

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Shiuan-Li Wey et al.

CASE REPORTS IN PATHOLOGY (2015)

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Article Pathology

Diagnostic Use of PAX8, CAIX, TTF-1, and TGB in Metastatic Renal Cell Carcinoma of the Thyroid

Ashley Cimino-Mathews et al.

AMERICAN JOURNAL OF SURGICAL PATHOLOGY (2011)

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Article Oncology

Survival After Complete Surgical Resection of Multiple Metastases From Renal Cell Carcinoma

Angela L. Alt et al.

CANCER (2011)

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Article Endocrinology & Metabolism

Tumor-to-tumor Metastases to Follicular Variant of Papillary Thyroid Carcinoma: Histologic, Immunohistochemical, and Molecular Studies of Two Unusual Cases

Jing Yu et al.

ENDOCRINE PATHOLOGY (2009)

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Review Pathology

Tumor-to-Tumor Metastasis: Renal Cell Carcinoma Metastatic to Papillary Carcinoma of Thyroid-Report of a Case and Review of the Literature

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HEAD & NECK PATHOLOGY (2009)

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A Ryska et al.

PATHOLOGY RESEARCH AND PRACTICE (2003)

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CS Heffess et al.

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Article Medicine, General & Internal

Metastasis of a renal-cell carcinoma in a microfollicular adenoma of the thyroid gland

G Wolf et al.

ACTA MEDICA AUSTRIACA (2002)

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