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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2018, Number 1

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Rev Mex Urol 2018; 78 (1)

Advanced collecting duct carcinoma in three patients

Almeida-Magaña R, Aguilar-Davidov B, Priego-Niño A, Castillo-Canto C
Full text How to cite this article

Language: Spanish
References: 10
Page: 67-72
PDF size: 329.57 Kb.


Key words:

Collecting duct carcinoma, Radical nephrectomy, Kidney cancer, Postoperative complications.

ABSTRACT

Background: Collecting duct carcinoma is an extremely rare type of renal cell carcinoma and accounts for 0.5 to 3% of malignant kidney cancers. It is an aggressive, rapidly invasive disease that progresses to early metastasis.
Clinical case: Three cases of advanced-stage collecting duct carcinoma confirmed through histologic study are reported herein. The clinical characteristics of the patients were reviewed retrospectively. All the patients had a history of smoking, were symptomatic at the time of diagnosis, and presented with advanced-stage disease. The three patients underwent radical nephrectomy and all died before the end of two postoperative months: 2 of the deaths were due to postoperative complications and 1 from early disease progression.
Conclusions: Cytoreductive nephrectomy may be a source of morbidity and mortality. Larger case series are required to define its role in the treatment of collecting duct carcinoma.


REFERENCES

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  2. Karakiewicz PI, Trinh QD, Rioux-Leclercq N, et al. Collecting duct renal cell carcinoma: a matched analysis of 41 cases. Eur Urol 2007;52:1140-1146.

  3. Méjean A, Rouprêt M, Larousserie F, et al. Is there a place for radical nephrectomy in the presence of metastatic collecting duct (Bellini) carcinoma? J Urol 2003;169:1287- 1290.

  4. Moch H, Humphrey PA, Ulbright TM, Reuter V. WHO classification of tumours of the urinary system and male genital organs. 4a ed. Lyon: International Agency for Research on Cancer, 2016.

  5. Staehler M, Schöppler G, Haseke N, et al. Carcinoma of the collecting ducts of Bellini of the kidney: adjuvant chemotherapy followed by multikinase inhibition with sunitinib. Clin Genitourin Cancer 2009;7:58-61.

  6. Dason S, Allard C, Sheridan-Jonah A, et al. Management of renal collecting duct carcinoma: a systematic review and the McMaster experience. Curr Oncol 2013;20:223-232.

  7. Oudard S, Banu E, Vieillefond A, et al. Prospective multicenter phase ii study of gemcitabine plus platinum salt for metastatic collecting duct carcinoma: results of a GETUG (Groupe d’Etudes des Tumeurs Uro-Génitales) study. J Urol 2007;177:1698-1702.

  8. Pepek JM, Johnstone P a S and Jani AB: Influence of demographic factors on outcome of collecting duct carcinoma: a Surveillance, Epidemiology, and End Results (SEER) database analysis. Clin Genitourin Cancer 2009;7:24-27.

  9. Patel NH, Attwood KM, Hanzly M, et al. Comparative Analysis of Smoking as a Risk Factor among Renal Cell Carcinoma Histological Subtypes. J Urol 2015;194:640-646.

  10. Alamdari FI, Ljungberg B. Adrenal metastasis in renal cell carcinoma: A recommendation for adjustment of the TNM staging system. Scand J Urol Nephrol 2005;39:277-282.




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Rev Mex Urol. 2018;78