Papillary renal cell carcinoma pRCC is the second most common type of renal carcinoma. RCC usually metastasizes to the lungs, lymph nodes, bones, ovarian cancer abdominal drain neuroendocrine cancer prognosis liver liver.
Renal carcinoma dissemination to the ovaries is an exceptional occurrence.
A year-old woman was admitted in January due to acute back pain and abdominal discomfort. An abdominal computed tomography CT scan with intravenous contrast revealed a solid ovarian cancer abdominal drain with malignant features located on the left kidney, multiple enlarged lymph nodes, and pulmonary metastases — cT3N1M1 pul.
The patient underwent radical left nephrectomy and para-aortic lymphadenectomy followed by treatment with pazopanib. The pathologic study revealed papillary renal cell carcinoma. In Junethe patient presented with abdominal pain, postprandial bloating, nausea, vomiting and abdominal distension ECOG 3.
Liver cancer abdominal fluid
CT imaging showed stable pulmonary metastases and left ovarian mass. An exploratory laparotomy was performed, revealing a 8x7 cm ovarian mass, followed by left adnexectomy. The histopathological report described carcinomatous infiltration of the left ovarian cancer abdominal drain and fallopian tube, while the immunohistochemical staining could not clearly differentiate between a primary ovarian tumor and a metastasis.
Corroborating the histopathological and immunohistochemical reports with the clinical status, the diagnosis of a synchronous primary ovarian tumor was decided.
Carcinomul cu celule renale papilare pRCC este al doilea cel mai frecvent tip de carcinom renal. CCR metastazează ovarian cancer abdominal drain obicei în plămâni, ganglioni, oase, creier şi ficat. Diseminarea carcinomului renal la ovare este o apariţie excepţională.
Tumoră primară ovariană sau metastaze ale unui carcinom cu celule renale – prezentare de caz
O pacientă de 60 de ani a fost internată în ianuarie în urgenţă cu dureri de spate şi abdominale. Tomografia computerizată CT cu substanţă de contrast a relevat o masă solidă cu caracteristici maligne localizată pe rinichiul stâng şi multipli noduli limfatici invadaţi, precum şi noduli pulmonari metastatici cT3N1M1.
Pacienta a suferit o nefrectomie stângă radicală şi a urmat limfadenectomie para-aortică. A urmat tratament cu pazopanib.
Examenul histologic a relevat carcinom cu celule renale papilare. În iuniepacienta s-a prezentat cu durere abdominală, balonare postprandială, greaţă, vărsături şi distensie abdominală ECOG3. Imagistica CT a arătat metastaze pulmonare stabile şi o masă ovariană stângă. O laparotomie exploratorie a fost efectuată, relevând o masă ovariană de 8x7 cm care a fost rezecată.
Liver cancer abdominal fluid Traducerea «ascites» în 25 de limbi
Raport histopatologic: tumoră carcinomatoasă a ovarian cancer abdominal drain stâng şi trompei falopiene, în timp ce imunohistochimia nu a putut diferenţia în mod clar între o tumoră ovariană primară şi o metastază.
Coroborând examenul histopatologic şi imunohistochimic cu starea clinică, diagnosticul unui cancer sincron ovarian a fost decis. It is considered the most lethal genitourinary cancer 2defined by an asymptomatic disease course, with late and uncharacteristic symptoms, leading to a poor survival prognosis 3.
Based on histological features, RRC is categorized into clear cell, papillary and cromophobe types.
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The classic triad of clinical symptoms — flank pain, palpable abdominal mass, and hematuria — is rare nowadays and is associated with locally advanced disease 4.
Early diagnosis is rare, although the discovery of a renal mass can be incidental due to advances in imaging techniques. A small percent of patients present with symptoms caused by metastatic disease.
Renal cell paraziti viermi rotunzi usually metastasizes to the lungs, lymph nodes, bones, brain and liver, and only very rarely to the ovary 23 cases known worldwide to date.
Case report A year-old woman, with a history of stage 2 hypertension therapeutically controlled and with surgery for herniated disc in the lumbar region, was admitted in January due to acute back pain and abdominal discomfort.
A computed ovarian cancer abdominal drain CT scan with intravenous contrast revealed a solid mass with malignant features located on the left kidney, multiple enlarged lymph nodes, and pulmonary metastases — cT3N1M1 pul Figures 1 and 2.
The patient underwent radical left nephrectomy and para-aortic lymphadenectomy on January 17, Figure 3. The treatment was well tolerated, the patient presenting only grade 2 fatigue, with normal blood tests. In Junethe patient presents with abdominal pain, postprandial bloating, nausea, vomiting and abdominal distension ECOG 3.
- Its in situ stage is lentigo maligna LM.
- Unfortunately, it does not have specific signs and symptoms, being associated with an aggressive evolution and a poor prognosis if left untreated.
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Contrast-enhanced chest-abdomen-pelvis CT showed stable pulmonary ovarian cancer abdominal drain and left ovarian mass Figure 4. In Julyan exploratory laparotomy was performed, revealing chylous ascites and a 8x7 cm ovarian mass, followed by left ovarian cancer abdominal drain.
Corroborating the histopathological and immunohistochemical reports with the clinical status, the diagnosis of a synchronous primary ovarian tumor was decided. The laboratory analyses revealed a biological inflammatory syndrome.
Ovarian cancer weight gain,
Paracentesis was performed and 2. Subsequently, the symptomatic treatment had limited benefit. Figure 1. Contrast-enhanced chest CT showing multiple pulmonary metastases Figure 2.
Therefore, the papillary subtype is the second most common type of renal carcinoma 7. Figure 3. Abdominal computed tomography Figure 4. Pelvic computed tomography showing left ovarian mass Renal carcinoma dissemination to the ovaries is an exceptional occurrence.
The predominance of RCC ovarian cancer abdominal drain males 10the vascular sclerosis of ovarian cancer abdominal drain postmenopausal ovary, rare events of tumor emboli to the ovaries, as well as the misdiagnoses of certain metastases as primary ovarian neoplasms 11 can account for this low incidence. Therefore, the diagnosis may sometimes prove challenging. First, ovarian metastases from other organs are generally bilateral, whereas metastases from renal tumors to ovaries are typically unilateral due to the distinct venous anatomy of renal-ovarian axis, the latter draining directly into the left renal vein 12consistent with our case.
In addition, its unilaterality could suggest the diagnosis of an ovarian primary tumor. Moreover, metastases from RCC involving the thyroid, liver and female genital tract are notably difficult to identify because of their histological similarities, each of these locations having their own clear cell and papillary tumors. The immunohistochemical staining is used to ascertain the nature ovarian cancer abdominal drain the tumor in difficult cases.
Furthermore, cytokeratin 7 CK7 tested positive, which is consistent with the immunoprofile of pRCC However, the inconclusive histopathological and immunohistochemical reports recommended correlating the results with the clinical context.