Carcinoma renal de células claras localmente avanzado con tuberculosis renal asociada

Q4 Medicine Revista mexicana de urologia Pub Date : 2015-09-01 DOI:10.1016/j.uromx.2015.06.010

S. Collura-Merlier , M. Ramírez-Bonilla , J.M. Ochoa-López , O. Herrera-Cáceres , C. Reyes-Utrera , H. Sandoval-Barba , O. Gómez-Alvarado , C. Cruz-Reyes , R.A. Castillejos-Molina

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引用次数: 1

Abstract

The association of renal cell carcinoma (RCC) and renal tuberculosis (TB) is uncommon. Whereas the incidental discovery of RCC in tuberculous kidneys is well described, the discovery of tuberculous lesions after radical nephrectomy for cancer is exceptional. The aim of this article was to report a case of locally advanced clear cell RCC whose histologic study revealed associated TB. There are very few published cases of kidney cancer and TB. A case of squamous cell carcinoma of the renal pelvis in a kidney with TB and a case of renal adenocarcinoma and TB have been reported. The present case describes locally advanced RCC with high tumor burden and retroperitoneal adenopathy that, before surgery, suggested metastatic disease to the lymph nodes. However, only histopathologic changes due to TB were found. No clinical or pathologic correlation has been found between these 2 entities, and clinical studies on the subject are lacking.

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肾细胞癌(RCC)与肾结核(TB)的关联并不常见。虽然在结核性肾脏中偶然发现的肾细胞癌已经被很好地描述了，但在根治性肾切除术后发现结核性病变是例外。本文的目的是报告一例局部晚期透明细胞癌，其组织学研究显示合并结核。很少有公布的肾癌和结核病病例。本文报告1例肾盂鳞状细胞癌合并结核及1例肾腺癌合并结核。本病例描述了局部晚期肾细胞癌，肿瘤负荷高，腹膜后腺病，术前提示转移到淋巴结。然而，仅发现结核引起的组织病理学改变。在这两种实体之间没有发现临床或病理相关性，并且缺乏关于该主题的临床研究。

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来源期刊

Revista mexicana de urologia Medicine-Urology

CiteScore

0.20

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0.00%

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期刊介绍： Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.