A CASE REPORT OF RENAL CELL CARCINOMA, COMPLICATED WITH SEVERE HEMATEMESIS AND MELENA

A 70-year-old man was admitted to the department of medicine in our hospital with a diagnosis of metastatic lung tumor on October 23, 1985. On October 26, he consulted our department following severe hematemesis and melena. We performed immediate examinations (US, CT, angiography, etc). The examinations revealed a tumor in the right kidney, which was suspected to be renal cell carcinoma, bleeding of the second portion of the duodenum and multiple metastases of the liver. Transcatheter arterial embolization (TAE) was performed for treatment of the tumor and control of the duodenal bleeding. On February 9, 1986, he died and autopsy was performed. Specimens obtained at autopsy showed the clear cell type of renal cell carcinoma. Histologically most of the tumor was necrotic, suggesting that TAE had been very effective. On the other hand, there was no influence of TAE on the tumor-free duodenal wall.