Carcinoma Renal com Metástase para Região Parasselar

Metastasis of renal cell carcinoma to the sellar region is rare, representing less than 1% of the cases of metastasis to the sellar region. Objective. This paper aims to describe a case of metastasis of renal carcinoma to the sellar region attended at San Francisco of Assis Universitary Hospital. Methods. A case report based on retrospective analysis of medical records and additional tests was concluded. Clinical Presentation. The authors reported a case of patient affected by left palpebral ptosis after five years of left radical nephrectomy. The magnetic resonance imaging of the brain and orbits revealed the presence of an expansive intrasellar process resulting from metastasis of the renal cell carcinoma. Chest computed tomography also showed pulmonary pre-tracheal metastasis, hence the neurosurgical team chose not to perform the surgery. Conclusion. This clinic situation is a very rare variant of renal carcinoma and the parasellar region is a poorly described site. The authors emphasize the need to consider the metastasis of renal carcinoma as a differential diagnosis of parasellar region tumors.