F.E. García-Martinez , R.A. García-Vázquez , J. López Chente-Casado , R. Vega-Castro , I. Gerardo-Osuna , M. García-Diaz , J.A. Razo-García , I. Ramírez-Martínez , A.L. López-García , I.E. Garcia-Lopez , J. Platt-García , L.R. Olivas-Román
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引用次数: 1
Abstract
Introduction
Papillary renal cell carcinoma is the second most frequent type of kidney cancer, representing 13 to 15% of lesions. Its greatest incidence is between the third and eighth decades of life and there is a 2 to 1 predominance in males. There are 2 morphologic types of papillary renal cell carcinoma and type 2 has the worse prognosis. Presentation is sporadic and unilateral in the majority of cases.
Clinical case
A 42-year-old man had no history of chronic degenerative disease and was a chronic smoker. He presented with gross hematuria of 20-day progression and severe anemia associated with general malaise. An abdominal computed axial tomography scan showed a 10 × 12 cm heterogeneous mass at the interpolar and lower pole region of the right kidney, retroperitoneal adenopathies, and a subdiaphragmatic vena cava thrombus. Right radical nephrectomy and thrombectomy of the inferior vena cava were performed. The histopathology study reported type 2 papillary renal cell carcinoma extending into the perirenal fat and adrenal gland and an inferior vena caval tumor thrombus.
Conclusions
Even though our patient had a poor short-term survival prognosis given the advanced clinical stage of his disease, palliative surgical management was indicated due to the persistent hematuria resulting in anemia.
期刊介绍:
Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.