Lung Cancer With a Kidney Metastasis Treated by Cryoablation

This lung cancer diagnosis at a glance

Subtype
Squamous Cell Carcinoma
Sex
Male
Spread to
left kidney
Treatment
chemotherapy, radiation and surgery

Treatment course, step by step

  1. He received curative-intent chemoradiotherapy.
  2. After the lung tumor progressed, he underwent right pneumonectomy.
  3. A later left-kidney metastasis was treated with CT-guided cryoablation.

What happened, in summary

A 69-year-old man with a 50 pack-year smoking history and past asbestos exposure presented with pneumonia and coughing blood. Imaging showed a 50 by 40 by 40 mm mass in the upper right lung. Biopsy confirmed squamous non-small cell lung cancer with regional lymph-node involvement, classified as T2bN1M0.

He first received curative-intent chemoradiotherapy. When the primary lung tumor progressed, he underwent removal of the right lung. Two and a half years later, follow-up imaging found a 25 mm mass in the upper part of the left kidney. Biopsy confirmed that it was a metastasis from the lung cancer.

A multidisciplinary team selected a kidney-sparing approach. The renal lesion was treated with CT-guided cryoablation rather than removal of the kidney.

Where this story comes from

This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full

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