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Solitary metastasis of clear cell renal cell carcinoma in sternum diagnosed unexpectedly during cardiac surgery - A rare but potentially fatal trap

Publication at Faculty of Medicine in Hradec Králové |
2021

Abstract

Renal carcinomas represent approximately 2--3% of all cancers in men. The incidence is increasing by 2% annually.

In the Czech Republic, the age-standardized incidence rate was 14.7 per 100,000 people in 2018, which was the fourth highest worldwide (after Belarus, Latvia and Lithuania. Approximately 30% of patienst have distant metastases at the time of diagnosis.

Another 14-29% of patients develop metastases during the follow-up period even many years after the diagnosis. We present a very rare case of serious complication during cardiac surgery due to as yet unrecognized metastasis of clear cell renal cell carcionma (RCC) to the sternum.