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January 10, 1977

Metastatic Renal Cell Carcinoma Long After Nephrectomy

Author Affiliations

Pennsylvania State University Hershey

JAMA. 1977;237(2):120. doi:10.1001/jama.1977.03270290020016

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To the Editor.—  I read the recent article by Donaldson et al entitled "Metastatic Renal Cell Carcinoma 24 Years After Nephrectomy" (236:950, 1976). We recently reported the case of a 70-year-old woman with metastatic renal cell carcinoma to the middle nasal turbinate in the Journal of Surgical Oncology (8:183-190, 1976). This same patient had had a right nephrectomy performed for renal cell carcinoma 20 years prior and multiple bilateral pulmonary metastasis noted on chest x-ray films for the past six years.The patient underwent radiation therapy to the right middle turbinate region; this area had been biopsied and the specimen was found to contain metastatic hypernephroma. She has had good response to this treatment for at least two years and continues to survive.I do hope that this will add to the report by Donaldson and colleagues.