Abstract
The common sites of breast cancer metastases include bones, lung, brain, and liver. Renal metastasis from the breast is rare. We report a case of breast cancer metastatic to the kidney with extension into the renal vein. A 40-year-old woman had undergone left mastectomy for breast cancer at the age of 38. A gastric tumor, which was later proved to be metastasis from breast cancer, was detected by endoscopy. Computed tomography performed for further examination of the gastric tumor revealed a large left renal tumor with extension into the left renal vein. It mimicked a primary renal tumor. Percutaneous biopsy of the renal tumor confirmed metastasis from breast cancer. Surgical intervention of the stomach and the kidney was avoided, and she was treated with systemic chemotherapy. Breast cancer metastatic to the kidney may present a solitary renal mass with extension into the renal vein, which mimics a primary renal tumor.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Patanaphan V, Salazar OM, Risco R. Breast cancer: metastatic patterns and their prognosis. South Med J. 1988;81:1109–12.
Caskey CI, Scatarige JC, Fishman EK. Distribution of metastases in breast carcinoma: CT evaluation of the abdomen. Clin Imaging. 1991;15:166–71.
Herzberg AJ, Bossen EH, Walther PJ. Adenoid cystic carcinoma of the breast metastatic to the kidney. A clinically symptomatic lesion requiring surgical management. Cancer. 1991;68:1015–20.
Takehara K, Koga S, Nishikido M, et al. Breast cancer metastatic to the kidney. Anticancer Res. 1999;19:5571–3.
Williams TR, Oakes MF. Metastatic breast carcinoma to renal angiomyolipomas in tuberous sclerosis. Urology. 2008;71:352.e5–7. doi:10.1016/j.urology.2007.10.035.
Akin Y, Basara I. Kidney metastasis of invasive ductal breast carcinoma mimicking renal cell carcinoma. Saudi Med J. 2012;33:1346–9.
Pickhardt PJ, Lonergan GJ, Davis CJ Jr, Kashitani N, Wagner BJ. From the archives of the AFIP. Infiltrative renal lesions: radiology–pathology correlation. Radiogr. 2000;20:215–43.
Allen BC, Tirman P, Jennings Clingan M, Manny J, Del Gaizo AJ, Leyendecker JR. Characterizing solid renal neoplasms with MRI in adults. Abdom Imaging. 2014;39:358–87.
Shinmoto H, Yuasa Y, Tanimoto A, Narimatsu Y, Jinzaki M, Hiramatsu K, Mukai M. Small renal cell carcinoma: MRI with pathologic correlation. J Magn Reson Imaging. 1998;8:690–4.
Takeuchi M, Urano M, Hara M, Fujiyoshi Y, Inagaki H, Shibamoto Y. Characteristic MRI findings of sarcomatoid renal cell carcinoma dedifferentiated from clear cell renal carcinoma: radiological-pathological correlation. Clin Imaging. 2013;37:908–12.
Akin O, Dixit D, Schwartz L. Bland and tumor thrombi in abdominal malignancies: magnetic resonance imaging assessment in a large oncologic patient population. Abdom Imaging. 2011;36:62–8.
Weiner SN. Intraluminal renal vein thrombus secondary to metastatic disease to the kidney: a case report. J Urol. 1982;128:372–3.
Klatte T, Rao JY, Ribas A, Pantuck AJ. Metastatic melanoma to the kidney presenting with renal vein tumor thrombus. Urology. 2007;69:982.e7–9.
Ellis MC, Mason T, Barnett J, et al. Gastric malignancies in breast cancer survivors: pathology and outcomes. Am J Surg. 2009;197:633–66.
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Nasu, H., Miura, K., Baba, M. et al. Breast cancer metastatic to the kidney with renal vein involvement. Jpn J Radiol 33, 107–111 (2015). https://doi.org/10.1007/s11604-014-0386-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11604-014-0386-x