Transnasal endoscopic resection of the intraconal metastases from renal cell carcinoma: A case report

Ankit Mahuvakar

Abstract

Renal cell carcinoma (RCC) is the most common malignancy to cause metastasis to sinonasal cavity. These metastasis can occasional cause invasion into the orbit. Isolated intraconal intraorbital metastasis from RCC is very rare. We hereby describe a case of 72year old female, who underwent right nephrectomy for RCC, 8 yrs back, and now presenting with a space occupying lesion in the right intraorbital compartment with no involvement of the paranasal sinuses. En bloc resection of the tumor was achieved via transnasal endoscopic approach. This is a rare case where minimally invasive surgery was done for metastatic lesion, with minimal postoperative morbidity.

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