Cáncer renal incidental en pacientes menores de 40 años: hallazgos clínicos e histopatológicos

Pérez, L. Gómez; Alba, A. Budía; Oliva, F.J. Delgado; Cerdá, JL Ruiz; Villa, M. Trassierra; Cruz, F. Jiménez

doi:10.1016/s0210-4806(07)73629-x

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…Age is not a significant factor on survival in patients with incidental RCC [26], so it is probably not a prognosis factor for SRM [5]. However, as the patient ages, the SMR stage is higher; so the incidence of SRM finally staged as pT3 tumors in younger than 45 years, 45–75 years, and older than 75 years is 2.3%, 6.9%, and 14.3%, respectively [17].…”

Section: Prognosis Factorsmentioning

confidence: 99%

Small Renal Masses: Incidental Diagnosis, Clinical Symptoms, and Prognostic Factors

Sánchez-Martín

Millán-Rodríguez

Urdaneta-Pignalosa

et al. 2008

Advances in Urology

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Introduction. The small renal masses (SRMs) have increased over the past two decades due to more liberal use of imaging techniques. SRMs have allowed discussions regarding their prognostic, diagnosis, and therapeutic approach. Materials and methods. Clinical presentation, incidental diagnosis, and prognosis factors of SRMs are discussed in this review. Results. SRMs are defined as lesions less than 4 cm in diameter. SRM could be benign, and most malignant SMRs are low stage and low grade. Clinical symptoms like hematuria are very rare, being diagnosed by chance (incidental) in most cases. Size, stage, and grade are still the most consistent prognosis factors in (RCC). An enhanced contrast SRM that grows during active surveillance is clearly malignant, and its aggressive potential increases in those greater than 3 cm. Clear cell carcinoma is the most frequent cellular type of malign SRM. Conclusions. Only some SRMs are benign. The great majority of malign SRMs have good prognosis (low stage and grade, no metastasis) with open or laparoscopic surgical treatment (nephron sparing techniques). Active surveillance is an accepted attitude in selected cases.

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Section: Prognosis Factorsmentioning

confidence: 99%

Small Renal Masses: Incidental Diagnosis, Clinical Symptoms, and Prognostic Factors

Sánchez-Martín

Millán-Rodríguez

Urdaneta-Pignalosa

et al. 2008

Advances in Urology

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Neoplasia Renal Poco Frecuente en un Paciente Joven Carcinoma Renal de Conductos Colectores.

Ortíz¹,

Juárez²,

Gudiel³

et al. 2017

Rev. Gua. Uro.

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El cáncer renal constituye alrededor de 3% de las neoplasias malignas 1,2,6,7,8,10. La relación por sexo es mayor en el género masculino, con una relación 3:2 1,2,8,10. Es la neoplasia de vía urinaria de mayor mortalidad, que es alrededor de 40% 1,5,8,10. Solamente en un 3% a 8% se diagnostican en pacientes menores de 40 años, según diferentes estudios 1,3,8,10. Los factores pronósticos conocidos son: el estadio clínico, el grado celular y el tipo histológico 1,4,8,9,10. Algunas series han señalado que los pacientes de menor edad se ha encontrado presencia de metástasis y afección linfática, según el comportamiento biológico es más agresivo en pacientes jóvenes 1,4,8,10. El diagnóstico incidental en pacientes menores, es mayor por el recurso de la ultrasonografía y de tomografía, con ello es factible que se diagnostiquen en un estadio clínico temprano mejorando las posibilidades de sobrevida 1,7,8,10. Además, el carcinoma de conductos colectores representa del 1 al 3% de las neoplasias renales, presentando en un 45% metástasis al momento de su diagnóstico y presentando una sobrevida de 12 a 36 meses 1,8,9,10. Se presenta caso de paciente de 23 años manejado en el Instituto Guatemalteco de Seguridad Social a quien se le diagnostica por patología Carcinoma Renal de Conductos Colectores del lado Derecho.

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Cáncer renal incidental en pacientes menores de 40 años: hallazgos clínicos e histopatológicos

Abstract: The findings in our study indicate that the natural history and outcome of the RC is similar in both older and younger patients. Therefore, in our opinion, the management of CR in young people should be established with independence of the age.

Cited by 2 publications

References 23 publications

Small Renal Masses: Incidental Diagnosis, Clinical Symptoms, and Prognostic Factors

Small Renal Masses: Incidental Diagnosis, Clinical Symptoms, and Prognostic Factors

Neoplasia Renal Poco Frecuente en un Paciente Joven Carcinoma Renal de Conductos Colectores.

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