Aguilar-Barradas J, Aguilar-Moreno JA, Sánchez-Alvarado JP, Carral-Valdez RA, Rosas-Ramírez A

Language: Spanish
References: 6
Page: 25-27
PDF size: 423.88 Kb.

ABSTRACT

Background: Renal carcinoma is the third most frequent uro-oncological pathology. It presents between the fifth and seventh decades of life and is characterized by a lack of early clinical manifestations. As a result a large number of cases are diagnosed as locally advanced or metastatic disease. Approximately 20 to 30% of patients presenting with renal cell carcinoma present with metastatic disease. The least frequent metastatic site is subcutaneous cellular tissue. The mortality rate at this metastatic site is greater than 90% at 5 years.
Clinical case: The patient is a 56-year-old male whose first clinical manifestation of disease was the presence of a lesion at the level of the right gluteus. Physical examination revealed a non-painful fixed 3 x 2 cm mass at the level of the right gluteus with no coloration changes and a soft consistency. Biopsy reported clear cell carcinoma. Tomography revealed a morphologically irregular tumor with poorly defined edges and an isodense attenuation pattern that became stronger upon contrast material administration. Right radical nephrectomy was performed and the patient currently presents with recurrence at the right gluteus level.

REFERENCES

1. Barbagelata LA, Ruibal MM, Blanco DA et al. Metástasis cutánea del cáncer renal: caso clínico y revisión. Archivos Españoles de Urología. Madrid, Abril 2005;58(3).

2. Kollender Y, Bickels J, Price MW, Kellar KL, Chen J, Merinmsky O, Meller I, Malawer MM. Metastatic Renal Cell Carcinoma of Bone: Indications and Technique of Surgical Intervention. J Urol 2000;164:(5)1505-8.

3. Krambeck AE, Leibovich BC, Lohse CM, Kwon ED, Zincke H, Blute H. The Role of Nephron Sparing Surgery for Metastatic (pM1) Renal Cell Carcinoma. J Urol 2006; 176:(5)1990-5.

4. Quevedo LI, Rodriguez PJ, Rosenberg GH et al. Apoplejía en metástasis hipofisiaria de carcinoma de células renales. Caso clínico con siete años de seguimiento. Revista Médica de Chile 2000;128(9):1015-1018.

5. Perrs K, Fargnoli MC, Lunghi F, Chimenti S. Unsually Large Cutaneous Metastases of Renal Cell Carcinoma. Acta Dermato-Venereologic 2001;81(1):77-8.

6. Díaz de León NC, Priego NA, Ángeles HJ et al. Lesión tumoral en pene como manifestación inicial de carcinoma de células renales. Revista Mexicana de Urología 2007;67(4):215-218.