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Spontaneous Remission Of Solitary Bony Metastasis After Removal Of The Primary Kidney Adenocarcinoma

Doolittle, K. H. 1976Kidney cancer

Journal of Urology 116(6): Dec 1976; 803-804

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Abstract

A patient whose clinical diagnosis was inoperable carcinoma of the uterus, yet who demonstrated a degeneration and natural cure of the carcinoma is reported.

Case Details

Personal Characteristics

A 49-year-old man

Clinical Characteristics

Right varicocele, painful left arm, osteolytic lesion of the left humerus, vascular metastatic adenocarcinoma of the kidney, tumor on the medial lower pole of the right kidney

Remission Characteristics

Bony lesion had decreased in size. It had completely disappeared on studies 6 months later and has not recurred to date. The lungs have remained free of metastatic disease

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Ligation of the right varicocele, abdominal radical right nephrectomy

Additional Notes

The patient initially presented with a right varicocele and no hematuria, which is extremely rare. He was first seen in 1967 with a ureteral calculus that passed spontaneously. He was seen in August 1970 for a 1 1/2 year history of an enlarging right varicocele and a painful left arm. He was admitted to the hospital for diagnostic study and treatment. Convalescence was uneventful except for a wound infection