透明同步细胞的大肠癌和肾癌1例

M. T. D. Sousa, Antonio Taumaturgo Sampaio Macêdo, Marco Antônio Bezerra Rolim, Roberto de Souza Mendonça, José Carlos S Silva, A. C. Neto, Isabelita de Luna Batista, H. M. T. Batista
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引用次数: 0

摘要

本研究报告了一例被诊断为结肠和肾脏同步肿瘤的患者:一名66岁的女性患者,乙状结肠中度分化腺癌和肾癌的同步透明细胞变异,在巴西塞埃尔州内部的肿瘤服务部门通过单一途径手术切除。在数据收集、病历记录、与患者和负责病例的外科医生的访谈、患者提交的诊断方法的照片记录和文献回顾方面使用。它遵循了第466/2012号法律规定的所有道德原则。本研究得出结论:a)文献分析中结直肠癌和同期肾细胞癌的发生率在0.03% ~ 4.85%之间;b)同期肿瘤的危险因素包括遗传因素和环境因素;C)肾细胞癌通常通过术前检查腹部肿瘤分期来诊断。尽管如此,还需要大量的前瞻性研究来确定最佳的治疗策略,然而,一些作者已经证实,同时腹腔镜切除两种肿瘤是可能的,并且发病率和死亡率都很低。关键词:同期性肿瘤,结肠癌,肾癌。
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ADENOCARCINOMA OF COLON AND RENAL CARCINOMA OF CLEAR SYNCHRONIC CELLS: A CASE REPORT
This study reported the case of a patient with a diagnosis of colonic and renal synchronic tumors: Moderately differentiated adenocarcinoma of sigmoid and renal carcinoma of the synchronic clear cell variant in a 66-year-old female patient who were surgically resected in a single approach in an Oncology service in the interior of the State of Ceará, Brazil. For data collection, records of the medical record, interview with the patient and the surgeon responsible for the case, photographic record of the diagnostic methods to which the patient was submitted, and literature review were used. It followed all the ethical principles established by law 466/2012. From this study it was concluded that: a) the incidence of colorectal cancer and synchronic renal cell carcinoma ranges from 0.03 to 4.85% in the analyzed literature, b) risk factors for synchronic tumors include genetic and environmental factors; c) renal cell carcinoma is usually diagnosed by performing preoperative tests for staging of abdominal carcinomas. Still, large prospective studies are necessary to define the best therapeutic strategy, however, some authors have confirmed that simultaneous laparoscopic resection of both neoplasms is possible and presents low morbidity and mortality. Keywords: synchronic tumor, colon cancer, renal cancer.
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