Abstract

Background : Lung metastasis is a lung cancer complication that can harm a person’s lung and lessen their ability to breathe fully on exhalation and inspiration. Adrenal glands, the liver, and the pancreas will all be impacted by metastasis, and in a very small percentage of instances, the kidney will also be affected and its function hampered. Here, we describe a case of primary renal cell carcinoma with left kidney failure due to lung metastasis. Metastasis is the process by which cancer cells move to different body organs from the site where they initially developed through the lymphatic and circulatory systems. The fourth stage of cancer, known as metastasis, is typically when the fatality rate increases the most since it affects the body’s organs’ ability to digest food, make bone and tissue repairs, produce blood, and operate normally. Case presentation : Breathlessness, back pain, severe compensated metabolic acidosis, multiple lung metastases in the lateral lung parenchyma, and multiple metastases in the bilateral lung parenchyma were the main complaints of a 70-year-old man with known lung metastases. These appear to be a cannonball. The atrial blood gases (ABG) showed compensated metabolic acidosis, which led to the patient being intubated as a result of the body’s increased oxygen demand. The patient previously experienced a cerebral vascular stroke (which resulted in left-side paralysis), for which he received treatment eight years ago and was subsequently cured. Know the patient is on treatment injection clindamycin, injection linezolid, injection DEXA, injection pantop, injection emset, injection optineuron, tab urimax, syp. duphalac. Conclusion : it is important to take into consideration lung metastasis with primary renal cell carcinoma to left kidney failure differentiation diagnosis, especially in patients with concomitant conditions as they may lead to life-saving intervention for the patient but typically with the patient fourth stage of metastasis have less chance of survival rate. The fiveyear life expectancy for lung metastasis associated primary renal cell carcinoma is approximately seven percent (7%)

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