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Bilateral multiloculated cystic renal cell carcinoma (Case report)

Year 2005, Volume: 11 Issue: 1, 29 - 32, 01.04.2005

Abstract

Aim: Multiloculated cystic renal cell carcinoma is a rare variant of renal cell carcinoma. Incidence and biological behaviour of the tumor are unknown and bilateral cases are very rare. Case report: Fifty four-years- old male patient was admitted to the Urology policlinic with a left flank pain which was present during one month. On ultra sonographic examination solid hypoecoic mass 37x 32 mm in size and extending to the adrenal area were found at the upperpole of right kidney. Another mass 38x34 mm in size, with mixt nature and smooth contours and finely vascular flow were detected in middle-upper pole of the left kidney. The patient had a urinary stone history. On CT scan; each kidney were normal in size and a cystic lesion 3.5 cm in diameter and with thickened wall was located on cortical-parapelvic region of the upper half of the left kidney. Exophytic elongated cystic lesion was also observed on right kidney upper pole which had a thick superolateral wall. Conclusion: Right radical and left partial nephrectomy were performed. On macroscopic examination; lesions with many cysts were detected in both kidneys which were diagnosed histopathologically as multiloculated cystic renal cell carcinoma

References

  • Reuter VE, Tickoo SK. Adult Renal tumors. In: Mills SE, Carter D, Greenson JK, Oberman HA, Reuter V, Stoler MH (eds). Sternberg’s Dianostic Surgical Pathology. 4th ed. Philadelphia:Lippincott Williams & Wilkins, 2004; 1955- 1999.
  • Nassir A, Jollimore J, Gupta R, Bell D, Norman R. Multilocular cystic renal cell carcinoma: A series of 12 cases and review of the literature. Urology 2002; 60(3) : 421-7.
  • Imura J, Ichikawa K, Takeda J, Tomita S, Yamamoto H, Nakazono M, Takimoto T, Ueda Y, Fujimori T. Multilocular cystic renal cell carcinoma: a clinicopathological, immuno- and lectin histochemical study of nine cases. APMIS 2004; 112(3): 183-91.
  • Weiss SG, Hafez RG, Uehling DT. Multiocular cystic renal cell carcinoma: implications for nephron sparing surgery. Urology 1998; 51(4): 635-637.
  • Bloom TL, Gray Sears CL, Williams TR, Linfesty RL, Amling CL. Multilocular cystic renal cell carcinoma with osseous metaplasia in a 25-year-old woman. Urology 2003; 61(2): 462.
  • Eble JN, Bonsib SM. Extensively cystic renal neoplasms: cystic nephroma, cystic partially differentiated nephro- blastoma, multilocular cystic renal cell carcinoma, and cystic hamartoma of renal pelvis. Semin Diagn Pathol 1998; 15(1): 2-20.
  • Murad T, Komaiko W, Oyasu R, Bauer K. Multilocular cystic renal cell carcinoma. Am J Clin Pathol 1991; 95(5): 633-7.
  • Lam SK, Chung TK, Mackenzie TM, To KF, Wong YF, Cheung TH, Chang AM. Coincidental renal cell and endo- metrial carcinoma: a case report. Gynecol Oncol 1996; 60(2) : 319-24.
  • Kostakopoulos A, Picramenos D, Antonopoulos P, Stavropoulos NI. Synchronous bilateral multilocular renal cell carcinoma. A rare case. Int Urol Nephrol 1994: 26(2): 155-9.
  • Yamamoto H, Maruyama T, Kuwae H, Yoshioka M, Ogino T, Kuroda J. Bilateral multilocular cystic renal cell carcinoma: a case report. Hinyokika Kiyo 1996; 42(7): 513- 6.
  • Nagahama K, Okuno H, Kamoto T, Terai A, Terachi T, Yoshida O. Clinical application of intraoperative ultrasonography for bilateral multilocular cystic renal cell carcinoma: a case report. Hinyokika Kiyo 1998; 44(2): 97- 100.
  • Kitazumi Y, Sato M, Hara H, Kuwabara T, Takanami M, Yagishita T, Ishii N, Miura K, Shirai M, Kameda N. Bilateral multilocular cystic renal cell carcinoma. Nippon Hinyokika Gakkai Zasshi 1992; 83(3): 405-8.
  • Hartman DS, Davis CJ Jr, Johns T, Goldman SM. Cystic renal cella carcinoma. Urology 1986; 28(2): 145-53.
  • Hartman DS, Davis CJ Jr, Johns T, Goldman SM. Cystic renal cell carcinoma. Urology 1986; 28(2):145-53.

Bilateral multiloküle kistik renal hücreli karsinom (Olgu sunumu)

Year 2005, Volume: 11 Issue: 1, 29 - 32, 01.04.2005

Abstract

Amaç: Multiloküle kistik renal hücreli karsinom (MKRHK), renal hücreli karsinomun az görülen bir tipidir. Bilateral olguların çok daha az olduğu bildirilmektedir. Olgu Sunumu: Elli-dört yaşında erkek hasta, 1 aydır süren sol yan ağrısı nedeniyle Üroloji polikliniğine başvurmuştur. İki kez taş düşürme öyküsü olan hastaya yapılan USG’de; sağ böbrek üst polde adrenal lojuna uzanan 37x32 mm boyutlarda solid hipoekoik bir kitle, sol böbrek orta-üst polde de 38x34 mm boyutlarda, mikst natürde, düzgün konturlu, ince vasküler akımlı bir başka kitle saptandı. BT’de; her iki böbrek boyutlarının normal olduğu, sol böbrek üst yarıda kortikal-parapelvik yerleşimli yaklaşık 3.5 cm çapında, duvarında kalınlaşmalar izlenen kistik lezyon, sağ böbrek üst polde ise ekzofitik uzanımlı, superolateral duvarı kalın, kortikal yerleşimli kistik lezyon izlendi. Sonuç: Olguya sağ radikal ve sol parsiyel nefrektomi yapıldı. Makroskopik incelemede; her iki böbrekte çok sayıda kistler içeren lezyonlar saptandı. Histopatolojik olarak multiloküle kistik renal hücreli karsinom tanısı aldı

References

  • Reuter VE, Tickoo SK. Adult Renal tumors. In: Mills SE, Carter D, Greenson JK, Oberman HA, Reuter V, Stoler MH (eds). Sternberg’s Dianostic Surgical Pathology. 4th ed. Philadelphia:Lippincott Williams & Wilkins, 2004; 1955- 1999.
  • Nassir A, Jollimore J, Gupta R, Bell D, Norman R. Multilocular cystic renal cell carcinoma: A series of 12 cases and review of the literature. Urology 2002; 60(3) : 421-7.
  • Imura J, Ichikawa K, Takeda J, Tomita S, Yamamoto H, Nakazono M, Takimoto T, Ueda Y, Fujimori T. Multilocular cystic renal cell carcinoma: a clinicopathological, immuno- and lectin histochemical study of nine cases. APMIS 2004; 112(3): 183-91.
  • Weiss SG, Hafez RG, Uehling DT. Multiocular cystic renal cell carcinoma: implications for nephron sparing surgery. Urology 1998; 51(4): 635-637.
  • Bloom TL, Gray Sears CL, Williams TR, Linfesty RL, Amling CL. Multilocular cystic renal cell carcinoma with osseous metaplasia in a 25-year-old woman. Urology 2003; 61(2): 462.
  • Eble JN, Bonsib SM. Extensively cystic renal neoplasms: cystic nephroma, cystic partially differentiated nephro- blastoma, multilocular cystic renal cell carcinoma, and cystic hamartoma of renal pelvis. Semin Diagn Pathol 1998; 15(1): 2-20.
  • Murad T, Komaiko W, Oyasu R, Bauer K. Multilocular cystic renal cell carcinoma. Am J Clin Pathol 1991; 95(5): 633-7.
  • Lam SK, Chung TK, Mackenzie TM, To KF, Wong YF, Cheung TH, Chang AM. Coincidental renal cell and endo- metrial carcinoma: a case report. Gynecol Oncol 1996; 60(2) : 319-24.
  • Kostakopoulos A, Picramenos D, Antonopoulos P, Stavropoulos NI. Synchronous bilateral multilocular renal cell carcinoma. A rare case. Int Urol Nephrol 1994: 26(2): 155-9.
  • Yamamoto H, Maruyama T, Kuwae H, Yoshioka M, Ogino T, Kuroda J. Bilateral multilocular cystic renal cell carcinoma: a case report. Hinyokika Kiyo 1996; 42(7): 513- 6.
  • Nagahama K, Okuno H, Kamoto T, Terai A, Terachi T, Yoshida O. Clinical application of intraoperative ultrasonography for bilateral multilocular cystic renal cell carcinoma: a case report. Hinyokika Kiyo 1998; 44(2): 97- 100.
  • Kitazumi Y, Sato M, Hara H, Kuwabara T, Takanami M, Yagishita T, Ishii N, Miura K, Shirai M, Kameda N. Bilateral multilocular cystic renal cell carcinoma. Nippon Hinyokika Gakkai Zasshi 1992; 83(3): 405-8.
  • Hartman DS, Davis CJ Jr, Johns T, Goldman SM. Cystic renal cella carcinoma. Urology 1986; 28(2): 145-53.
  • Hartman DS, Davis CJ Jr, Johns T, Goldman SM. Cystic renal cell carcinoma. Urology 1986; 28(2):145-53.
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

D. Gümürdülü This is me

A. Uğuz This is me

A. Gökdemir This is me

B. Soyupak This is me

Publication Date April 1, 2005
Published in Issue Year 2005 Volume: 11 Issue: 1

Cite

APA Gümürdülü, D., Uğuz, A., Gökdemir, A., Soyupak, B. (2005). Bilateral multiloküle kistik renal hücreli karsinom (Olgu sunumu). Türkiye Ekopatoloji Dergisi, 11(1), 29-32.
AMA Gümürdülü D, Uğuz A, Gökdemir A, Soyupak B. Bilateral multiloküle kistik renal hücreli karsinom (Olgu sunumu). Türkiye Ekopatoloji Dergisi. April 2005;11(1):29-32.
Chicago Gümürdülü, D., A. Uğuz, A. Gökdemir, and B. Soyupak. “Bilateral multiloküle Kistik Renal hücreli Karsinom (Olgu Sunumu)”. Türkiye Ekopatoloji Dergisi 11, no. 1 (April 2005): 29-32.
EndNote Gümürdülü D, Uğuz A, Gökdemir A, Soyupak B (April 1, 2005) Bilateral multiloküle kistik renal hücreli karsinom (Olgu sunumu). Türkiye Ekopatoloji Dergisi 11 1 29–32.
IEEE D. Gümürdülü, A. Uğuz, A. Gökdemir, and B. Soyupak, “Bilateral multiloküle kistik renal hücreli karsinom (Olgu sunumu)”, Türkiye Ekopatoloji Dergisi, vol. 11, no. 1, pp. 29–32, 2005.
ISNAD Gümürdülü, D. et al. “Bilateral multiloküle Kistik Renal hücreli Karsinom (Olgu Sunumu)”. Türkiye Ekopatoloji Dergisi 11/1 (April 2005), 29-32.
JAMA Gümürdülü D, Uğuz A, Gökdemir A, Soyupak B. Bilateral multiloküle kistik renal hücreli karsinom (Olgu sunumu). Türkiye Ekopatoloji Dergisi. 2005;11:29–32.
MLA Gümürdülü, D. et al. “Bilateral multiloküle Kistik Renal hücreli Karsinom (Olgu Sunumu)”. Türkiye Ekopatoloji Dergisi, vol. 11, no. 1, 2005, pp. 29-32.
Vancouver Gümürdülü D, Uğuz A, Gökdemir A, Soyupak B. Bilateral multiloküle kistik renal hücreli karsinom (Olgu sunumu). Türkiye Ekopatoloji Dergisi. 2005;11(1):29-32.