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Computed tomography (CT) scan of the abdomen and pelvis showing a heterogeneous lesion in the cervix and the lower pole of the left kidney.

Computed tomography (CT) scan of the abdomen and pelvis showing a heterogeneous lesion in the cervix and the lower pole of the left kidney.

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Simultaneous diagnosis of renal cell carcinoma with pelvic malignancies is rare but a well-documented phenomenon. It is not uncommon to have incidental renal masses on imaging done for investigating other tumors. There are no established guidelines for the treatment of patients with dual malignancies. The management of such patients is challenging...

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Context 1
... abdomen and pelvis with intravenous contrast was performed which revealed enhancing lesion in cervix which is extending into the posterior parametria. Another positive finding was exophytic heterogeneous lesion arising from lower pole of left kidney, which was reported as primary renal neoplasm with abdominal pelvic lymphadenopathy ( Figure 3). The patient was referred to a urologist and the case was discussed in multidisciplinary tumor board and the consensus was made to manage the cervical cancer first due to its natural history followed by partial nephrectomy for left renal mass. ...
Context 2
... abdomen and pelvis with intravenous contrast was performed which revealed enhancing lesion in cervix which is extending into the posterior parametria. Another positive finding was exophytic heterogeneous lesion arising from lower pole of left kidney, which was reported as primary renal neoplasm with abdominal pelvic lymphadenopathy ( Figure 3). The patient was referred to a urologist and the case was discussed in multidisciplinary tumor board and the consensus was made to manage the cervical cancer first due to its natural history followed by partial nephrectomy for left renal mass. ...

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Citations

... Carcinoma cervix was treated with external beam radiotherapy followed by brachytherapy while nephrectomy was done for RCC. (9) Sharma et al, published a case report of synchronous renal cell carcinoma with carcinoma cervix, both were managed surgically. (10) Renal cell carcinoma is the most common malignancy of kidney and carcinoma cervix is also the one of the commonest malignancy among females. ...
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Background In India, renal cell carcinoma (RCC) is the most frequent kidney cancer with an increasing tendency, whereas cervical cancer is the second most common disease among women. Synchronicity of RCC with other malignancies is not uncommon, but with the cervical cancer is rare.  Case description A 64-year-old, postmenopausal female, presented with complaint of bleeding per vagina and was diagnosed with carcinoma cervix and later on metastatic work-up also diagnosed with right RCC. After multidisciplinary discussion, patient planned for management for cervix then followed by renal lesion. Patient received radical external beam radiotherapy followed by brachytherapy for carcinoma cervix and underwent nephrectomy for right RCC.  Conclusion Synchronous cases of cervical cancer and renal cell carcinoma are very rare. Advancement in diagnostic protocol makes these kind of cases common and multidisciplinary team decisions are required for their management.
... One of them was RCC with carcinoma cervix. 7 Momah et al. published a case report in which he found synchronous leiomyosarcoma of kidney and SCC of cervix. 8 Sato et al. did a study of multiple primary malignancies in Japanese patients with RCC and evaluate the incidence, nature, and prognosis of multiple primary malignancies involving RCC in Japan. ...