Renal carcinoma: about a case

Authors

Keywords:

Renal carcinoma, Renal colic, Hematuria, Nephrectomy

Abstract

Introduction: renal carcinomas represent between 2 and 3 % of malignant tumors in adults, seventh in men and ninth in women. In the latter, they often go unnoticed, with up to 50 % occurring incidentally and in asymptomatic patients.

Objective: to present the case of a patient with right renal carcinoma.

Case presentation: the case of a 57-year-old male patient is presented, who came to the hospital with long-standing pain in the right lumbar fossa, now of renal colic type, hematuria, and with a palpable abdominal mass. In the clinical and complementary examinations carried out, the presence of a right renal carcinoma was confirmed, which required surgical treatment (right nephrectomy).

Conclusions: the adequate application of the clinical method, with a correct interrogation, added to the findings in the physical examination, the imaging study and the exclusion of differential diagnoses, constitute fundamental pillars for the diagnosis of renal carcinoma, since it can manifest itself variable form and the classic signs are frequently absent, making it essential to have a high index of suspicion.

Downloads

Download data is not yet available.

Author Biographies

Guillermo Alejandro Herrera-Horta, Universidad de Ciencias Médicas de Pinar del Río

Estudiante de Tercer Año de Medicina. Alumno Ayudante de Imagenología

Zurelys Gutierrez-Garcia, Universidad de Ciencias Médicas de Pinar del Río

Estudiante de Cuarto Año de Medicina.Alumno Ayudante de Medicina Interna

Guillermo Luis Herrera-Miranda, Universidad de Ciencias Medicas de Pinar del Rio

Medico Especalista de Segundo Grado en Medicina Interna. Doctor en Ciencias Medicas, Pinar del Río

Analiz de Paula- Paredes, Hospital Abel Santamaría Cuadrado. Pinar del Río

Médico. Especialista de Segundo Grado en Imagenología.Profesor Auxiliar

References

1. Anido Herranz U, González Del alba MA. Cáncer renal [Internet]. SEOM; [Internet] 2019 [citado 20/11/2023]. Disponible en: https://seom.org/info-sobre-el-cancer/renal

2. Fitzmaurice C, Akinyemiju TF, Al Lami FH, Alam T, Alizadeh-Navaei R, et al. A SystematicAnalysisforthe Global Burden of DiseaseStudy. JAMA Oncol. [Internet] 2018 [citado 20/11/2023]; 4(11):1553-1568. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29860482/

3. Barrios Licona DLE, Alonso Espinaco DMT, Gabilondo Rikondo DG, BadiolaMolinuevo DJ, García Asensio DD, Martín Mónica DF. Tumores renales en la edad pediátrica: Guía para un enfoque radiológico de calidad. SERAM [Internet]. 2022 [citado 20/11/2023]; 1(1). Disponible en: https://piper.espacio-seram.com/index.php/seram/article/view/9314

4. Suárez Alfonso OE, Castillo García I, Hernández Campo P R, Díaz Dueñas Y, Zayas Veliz R. Características clínico epidemiológicas y manejo terapéutico del cáncer de riñón. Rev Ciencias Médicas [Internet]. 2022 [citado 20/11/2023]; 26(2): e5266. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561- 31942022000200022&lng=es

5. Springer Pérez PM, Suárez Sori B, Figueredo García O, Torres Lebrato L. Caracterización histológica del carcinoma de células renales. Rev Arch Med Camagüey. [Internet] 2017 [citado 20/11/2023]; 21(4):452-60. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552017000400003

6. Otunctemur A, Dursun M, Ozer K, Horsanali O, Ozbek E. Renal Cell Carcinoma and Visceral Adipose Index: a new risk parameter. Int Braz J Urol. [Internet] 2016 [citado 20/11/2023]; (1). Disponible en: https://pubmed.ncbi.nlm.nih.gov/27532115/

7. Rossi SH, Klatte T, Usher-Smith JA. A Decision Analysis Evaluating Screening for Kidney Cancer Using Focused Renal Ultrasound. Eur Urol Focus. [Internet] 2021 [citado 20/11/2023]; 7(2):407-419. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31530498/

8. Yohannan B, Sridhar A, Kaur H, DeGolovine A, Maithel N. Screening for renal cell carcinoma in renal transplant recipients: a single-centre retrospective study. BMJ Open. [Internet] 2023 [citado 20/11/2023]; 13(9):e071658. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105141/

9. Ato González SA, Ato González M, López Banet E, Cárceles Moreno FJ, Hernández Olivares J, Robles Manzanares P, Oquiñena Cristina C, Cuélliga González Ángel. Masas sólidas renales: diagnóstico diferencial por imagen. SERAM [Internet]. 2022 [citado 20/11/2023]; 1(1).Disponible en: https://www.piper.espacio-seram.com/index.php/seram/article/view/8912

10. Wang Y, Ding Y, Wang J, Gu M, Wang Z, Qin C. Clinical features and survival analysis of clear cell papillary renal cell carcinoma: A 10 ‑ year retrospective study from two institutions. OncologyLetters [Internet]. 2018 [citado 20/11/2023]; 16(1): 1010-22. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29963177/

11. Pietro D, Tobias K, Daniele A, Riccardo B, Umberto C, Selcuk E. Screening programs for renal cell carcinoma: a systematic review by the EAU young academic urologists renal cancer working group. World J Urol. [Internet] 2023 [citado 20/11/2023]; 41(4):929-940. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35362747/

12. Costabel J, García Marchiñena J, Uría L, Tirapegui S, Jurado A, Gueglio G. Formas actuales de presentación del tumor renal. MEDICINA (Buenos Aires). [Internet] 2015 [citado 21/11/2023]; 75: 159-62. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-76802015000300005

13.Sirohi D, Smith SC, Agarwal N, Maughan BL. Unclassified renal cell carcinoma: diagnostic difficulties and treatment modalities. Res RepUrol [Internet]. 2018 [citado 21/11/2023]; 10: 20517. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30510921/

14. Wang ZJ, Westphalen AC, Zagoria RJ. CT and MRI of small renal masses. Br J Radiol [Internet]. 2018 [citado 21/11/2023]; 91(1087):20180131. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221773/

Published

2024-04-20

How to Cite

1.
Herrera-Horta GA, Gutierrez-Garcia Z, Herrera-Miranda GL, de Paula- Paredes A. Renal carcinoma: about a case. MedEst [Internet]. 2024 Apr. 20 [cited 2025 Apr. 4];4(1):e182. Available from: https://revmedest.sld.cu/index.php/medest/article/view/182

Issue

Section

CASE PRESENTATION

Similar Articles

You may also start an advanced similarity search for this article.