Landa-Soler M, Figueroa-Zarza M, Cruz-García VP

Language: Spanish
References: 10
Page: 389-393
PDF size: 1459.78 Kb.

ABSTRACT

Introduction: Renal tumors present more frequently in adult patients and clear cell adenocarcinoma is the most frequent. Symptoms include pain, hematuria, and palpable mass in up to fifteen per cent of cases.
Objective: To present the case of an adolescent patient with histologically rare renal tumor.
Methods: Patient is a seventeen-year-old young man who presented with pain in left costovertebral angle and macroscopic hematuria. Physical examination revealed positive left costovertebral angle percussion. Diagnosis was made with kidney ultrasound and computed axial tomography.
Results: Left radical nephrectomy was performed. Histopathological study reported papillary adenocarcinoma of the kidney with microscopic clear cell component and tumor-free margins.
Discussion: Papillary kidney tumors are rare in the adolescent. In the present case computed axial tomography and radiological studies revealed the presence of kidney tumor, and radical nephrectomy was indicated.
Conclusions: Kidney tumors do not present frequently in adolescence. It is important to carry out adequate study protocol in order to make opportune diagnosis and thus determine adequate treatment for these patients.

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