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. 2020 Apr;9(4):3012–3017. doi: 10.21037/tcr.2020.02.73

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2020 Translational Cancer Research. All rights reserved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

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Treatment and timeline of the case. (A) 2014-03-12: right nephrectomy. (a2) The pathology of the right kidney showed renal clear cell carcinoma with no breakthrough in the renal capsule (HE, ×200). (B) 2016-03-14: bilateral upper pneumonectomy. (b1) The CT scan showed bilateral upper nodules. (b2) The pathology of the upper pulmonary was metastasis of renal clear cell carcinoma (HE, ×200). (C) 2017-01-14: left nephrectomy. (c1) The CT scan showed a mass of the left kidney. (c2) The pathology of the left kidney was a metastasis of renal clear cell carcinoma (HE, ×200).