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Case report
Calvarial metastasis of renal cell carcinoma
  1. Tabrez Suffee1,
  2. Mohamed Derder1,
  3. Julien Quilichini2,
  4. Edouard Dezamis3 and
  5. Laurent Lantieri1
  1. 1 Service de Chirurgie Plastique, Reconstructrice et Esthétique, Hôpital Européen Georges Pompidou, Université Paris-Descartes, Paris, France
  2. 2 Service de Chirurgie Plastique, Reconstructrice et Esthétique, Hôpital Robert Ballanger, Boulevard Robert Ballanger, Aulnay-sous-Bois, France
  3. 3 Service de Neurochirurgie, Hôpital Sainte-Anne, Paris, France
  1. Correspondence to Dr Tabrez Suffee, Service de Chirurgie Plastique, Reconstructrice et Esthétique, Hôpital Européen Georges Pompidou, 20 Rue Leblanc, Paris 75015, France; tabrez.suffee{at}gmail.com

Abstract

The calvarium is an extremely unusual site of metastasis of renal cell carcinoma. We report a 62-year-old man who was enrolled for palliative medical management for an exophytic calvarial metastasis. His quality of life was greatly compromised with everyday local care and bandages due to recurrent events of infection and bleeding, limiting his social life. Surgical palliative surgery was carried out to improve the patient's quality of life. After tumour resection, the resultant defects of the calvarium and the scalp were covered by a muscular latissimus dorsi free flap and a fascia lata graft as dural substitute. There was no evidence of local recurrence or distant metastasis during the 3 years follow-up. Consequently, resection of solitary metastasis in the early stage is the treatment of choice with a chance to cure the metastasis and avoid associated morbidity that may occur if the lesion is left untreated.

  • calvarium
  • renal cell carcinoma
  • flap

https://doi.org/10.1136/bmjspcare-2016-001216

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    Footnotes

    • TS and MD contributed equally to this work.

    • Contributors TS involved in the design of the work, acquisition, analysis and interpretation of data and writing and submission of the manuscript; is responsible for the overall content as guarantor; participated in the review, drafting and final approval of the manuscript. MD performed multiple surgeries, involved in conception of the work and acquisition of data and participated in the review, drafting and final approval of the manuscript. JQ performed surgery, involved in conception of the work and analysis of data and participated in the review, drafting and final approval of the manuscript. ED performed surgery, involved in conception of the work and acquisition of data and participated in the review, drafting and final approval of the manuscript. LL performed the surgery, involved in conception of the work and analysis of data and participated in the review, drafting and final approval of the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.