Rare presentation of a clear cell renal cell cancer metastasis to the contralateral testicle: A case report.

Renal cell carcinoma metastases to the testes are a rare occurrence, with less than 50 described in the literature. We describe a man who presented with a metastasis in his contralateral testicle five years after nephrectomy for clear cell renal cell carcinoma, as well as a review of the available literature. This case highlights the diagnostic challenges associated with this presentation.

Unmet Supportive Cancer Care Needs: An Exploratory Quantitative Study in Rural Australia.

BACKGROUND: There is a discernible, often ignored under-evaluated care-management gap in supportive cancer care, where the estimated clinical outcome is seldom translated into patient-centered benefit. METHODS: The present research is an exploratory cross-sectional quantitative questionnaire survey study done in rural regions of Australia with the sole purpose of evaluating the care-management gap in terms of the unmet supportive needs of advanced cancer patients to provide baseline data for planning, drafting and implementing innovative and effective supportive care services that will address the specific priorities and unmet needs identified in this vulnerable population in the remote and rural regions. RESULTS: The questionnaire (NA-ACP) was comprised of 132 questions covering seven domains of supportive care. Three centers in rural regions of Australia were selected for the study. While center 1 had medical and surgical specialties, centers 2 and 3 were outreach oncology clinics with nurse-led chemotherapy units. A total sample of 75 patients getting continuous treatment procedures at these three oncology units was given the NA-ACP questionnaire. CONCLUSION: The data from this study can be used to improve and inform care for this population by identifying specific unmet supportive needs.

Scalp metastases--an unusual presentation of non-small cell lung cancer prognosis of cutaneous metastases in the current era.

We report a case of metastatic lung cancer presenting as scalp metastases. Immunohistochemistry and radiological investigations helped in making the diagnosis. We also report better survival as seen in our present case using newer chemotherapeutic agents. The report emphasizes the need to look carefully for skin lesions as they provide easily accessible tissue for histopathology and also aid in proper staging as they can be missed out on routine radiological investigations. The case also reflects improvement in cancer care and outcomes in recent times.