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      A case of concurrent uterine cervical adenocarcinoma and renal-cell carcinoma, and subsequent vaginal metastasis from the renal-cell carcinoma.

      The journal of obstetrics and gynaecology research
      Adenocarcinoma, diagnosis, pathology, therapy, Carcinoma, Renal Cell, secondary, Chemotherapy, Adjuvant, Fatal Outcome, Female, Humans, Hysterectomy, Kidney, radiography, Kidney Neoplasms, Lymph Node Excision, Lymphatic Metastasis, Middle Aged, Neoplasms, Multiple Primary, Nephrectomy, Radiotherapy, Adjuvant, Tomography, X-Ray Computed, Uterine Cervical Neoplasms, Uterine Neoplasms, Uterus, Vaginal Neoplasms

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          Abstract

          We report a case of concurrent uterine cervical adenocarcinoma and renal-cell carcinoma and a subsequent vaginal metastasis from the renal-cell carcinoma. The renal-cell carcinoma, which was located in the upper pole of the right kidney, was detected incidentally by preoperative CT scanning. We simultaneously performed in a timely manner radical hysterectomy, pelvic and paraaortic lymphadenectomies, and a right nephrectomy. Subsequently, however, the patient suffered from vaginal metastasis arising from the renal-cell carcinoma. As a result of this case, we emphasize the importance of making a thorough preoperative assessment prior to performance any definitive surgery for a gynecologic malignancy.

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