C. Quezada-León , C. Vázquez-Niño , A. Costilla-Montero , J. Hernández-Alvarado
{"title":"透明细胞肾肿瘤对侧输尿管转移","authors":"C. Quezada-León , C. Vázquez-Niño , A. Costilla-Montero , J. Hernández-Alvarado","doi":"10.1016/j.uromx.2015.11.009","DOIUrl":null,"url":null,"abstract":"<div><p>Renal cell carcinoma represents 2-3% of all cancers and is the most frequent solid lesion of the kidney. Incidental diagnosis through imaging studies is approximately 50%, and the majority of those cases are asymptomatic. Management is based on radical surgical treatment and postoperative follow-up through imaging techniques is essential for detecting local or systemic recurrence.</p><p>A 60-year-old man had a past history of left radical nephrectomy due to renal tumor 10 years earlier. Clinical manifestation was painless, gross hematuria. CT-urography revealed right ureteropelvic ectasia with a lesion occupying the distal third of the ureter that produced a negative filling defect. Endoscopic revision, lesion excision, and adjuvant treatment based on the tyrosine kinase inhibitor, sorafenib, were carried out.</p><p>This clinical case underlines the importance of strict follow-up in patients with renal tumors when there is no clear knowledge as to the metastatic behavior and predictable tumor dissemination routes in renal cell carcinoma.</p></div>","PeriodicalId":34909,"journal":{"name":"Revista mexicana de urologia","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.uromx.2015.11.009","citationCount":"0","resultStr":"{\"title\":\"Metástasis ureteral contralateral por tumor renal de células claras\",\"authors\":\"C. Quezada-León , C. Vázquez-Niño , A. Costilla-Montero , J. Hernández-Alvarado\",\"doi\":\"10.1016/j.uromx.2015.11.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Renal cell carcinoma represents 2-3% of all cancers and is the most frequent solid lesion of the kidney. Incidental diagnosis through imaging studies is approximately 50%, and the majority of those cases are asymptomatic. Management is based on radical surgical treatment and postoperative follow-up through imaging techniques is essential for detecting local or systemic recurrence.</p><p>A 60-year-old man had a past history of left radical nephrectomy due to renal tumor 10 years earlier. Clinical manifestation was painless, gross hematuria. CT-urography revealed right ureteropelvic ectasia with a lesion occupying the distal third of the ureter that produced a negative filling defect. Endoscopic revision, lesion excision, and adjuvant treatment based on the tyrosine kinase inhibitor, sorafenib, were carried out.</p><p>This clinical case underlines the importance of strict follow-up in patients with renal tumors when there is no clear knowledge as to the metastatic behavior and predictable tumor dissemination routes in renal cell carcinoma.</p></div>\",\"PeriodicalId\":34909,\"journal\":{\"name\":\"Revista mexicana de urologia\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.uromx.2015.11.009\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista mexicana de urologia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2007408515001627\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista mexicana de urologia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2007408515001627","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Metástasis ureteral contralateral por tumor renal de células claras
Renal cell carcinoma represents 2-3% of all cancers and is the most frequent solid lesion of the kidney. Incidental diagnosis through imaging studies is approximately 50%, and the majority of those cases are asymptomatic. Management is based on radical surgical treatment and postoperative follow-up through imaging techniques is essential for detecting local or systemic recurrence.
A 60-year-old man had a past history of left radical nephrectomy due to renal tumor 10 years earlier. Clinical manifestation was painless, gross hematuria. CT-urography revealed right ureteropelvic ectasia with a lesion occupying the distal third of the ureter that produced a negative filling defect. Endoscopic revision, lesion excision, and adjuvant treatment based on the tyrosine kinase inhibitor, sorafenib, were carried out.
This clinical case underlines the importance of strict follow-up in patients with renal tumors when there is no clear knowledge as to the metastatic behavior and predictable tumor dissemination routes in renal cell carcinoma.
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.