Metastatic renal cell carcinoma presenting with mediastinal eggshell calcification

BMJ Case Reports - Trang bcr2014209202
Jacob S. Heng1, Abeer Ghuman2, Shahir Hamdulay2, Hassan Hirji3
1Imperial College London, London, UK Department of Rheumatology and General Medicine, Northwick Park Hospital, London, UK.
2Department of Rheumatology and General Medicine, Northwick Park Hospital, London, UK.
3Department of Radiology, Northwick Park Hospital, London, UK

Tóm tắt

An 81-year-old South Asian man normally resident in the UK presented with night sweats for over 2 months on a background of weight loss of 4 kg in 6 months. His medical history was significant for metastatic renal cell carcinoma treated 5 years previously with cytoreductive nephrectomy and adjuvant chemotherapy. Following an abnormal chest radiograph showing an ill-defined right paratracheal mass, a CT scan showed eggshell calcification (circumferential calcification) of enlarged low right paratracheal lymph nodes. An endobronchial ultrasound–guided transbronchial needle aspiration of an involved large paratracheal lymph node showed cytology consistent with metastatic renal cell carcinoma.

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