||Diwa Das, 1/29/2005 9:28:46 PM
| ||The cutaneous deposit of renal cell origin is rare but deposit from occult primary is rarer still. |
I am sending a photograph of rapidly growing skin lump below the left scapula on back of an 82 year old man.The tru-cut biopsy showed it to be a skin deposit of renal cell origin.Further investigation failed to localise any primary anyehere in the body.The lump was removed with clear margin and histology confirmed the original report.The primary closure of yhe wound was not possible and now he is seeing plastic surgeon for the wound closure.The Oncologist decided not to treat him any further because of
1. His age and many co-morbid condotion,
2. Clear margin of resection and
3. Occult primary.
The patient is doing fine. [Image 1] [Image 2]