Renal cell carcinoma diagnosed during pregnancy: a case report and literature review

Yılmaz, Ercan; Oğuz, Fatih; Tuncay, Görkem; Melekoğlu, Rauf; Beytur, Ali; Coşkun, Ebru; Güneş, Ali

doi:10.1177/0300060518776744

Cited by 7 publications

(5 citation statements)

References 21 publications

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“…Some of the predisposing factors for RCC in pregnancy are elevated levels of estrogen and progesterone, polymorphism of the estrogen receptor gene, increment in body mass index (BMI) and increased risk of diabetes and hypertension. Given that the symptoms of RCC in pregnancy such as flank pain, hematuria, hypertension mimic other common pregnancy related disorders, the diagnosis of RCC can frequently be missed or delayed [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Post-partum occurrence of Wunderlich syndrome and microangiopathic haemolytic anaemia (MAHA): a case report

Swaminathan

Sedhom

Shahzad

et al. 2021

Journal of Community Hospital Internal Medicine Perspectives

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This is a case of a 27-year-old primigravida with monochorionic diamniotic twin gestation who was admitted to the hospital for induction of labour. Her postpartum course was complicated by microangiopathic haemolytic anemia (MAHA). The etiology for the MAHA was initially thought to be secondary to pre-eclampsia and vitamin B12/folate deficiency. However, she had persistent anemia and further workup demonstrated that she had a left renal cell carcinoma (RCC) with perinephric haemorrhage consistent with Wunderlich syndrome. This case was intriguing because of its unusual presentation and the several diagnostic and therapeutic challenges along the way.

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Section: Discussionmentioning

confidence: 99%

Post-partum occurrence of Wunderlich syndrome and microangiopathic haemolytic anaemia (MAHA): a case report

Swaminathan

Sedhom

Shahzad

et al. 2021

Journal of Community Hospital Internal Medicine Perspectives

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“…Among urological tumors, which are rarely identified during pregnancy, renal cell carcinoma is the most common tumor followed by angiomyolipoma. [3,4] Only very few cases of oncocytoma diagnosed during the antenatal period have been reported; hence, we report this case for its rarity.…”

Section: Introductionmentioning

confidence: 92%

Renal Oncocytoma in Pregnancy - A Case Report

Suman¹,

Rao²

2019

JMSH

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Renal oncocytoma is a benign tumor which arises from collecting duct cells. It may be detected incidentally or present with hematuria and flank pain. It is a rare occurrence in pregnancy. Here, we present a case report of a 26-year-old patient who was detected with a renal mass in pregnancy and radical nephrectomy was performed 5 months after delivery. Gross examination of the kidney showed a well-circumscribed tan brown tumor. Microscopy revealed neoplastic oncocytes arranged in nests, alveolar, and tubular pattern having round central nuclei with evenly dispersed chromatin and abundant eosinophilic granular cytoplasm. On immunohistochemistry, these cells were positive for CD117 and negative for CK7, CD10, S100, and Hale's colloidal iron stain. Diagnosis of oncocytoma was given.

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“…Legfőbb rizikófaktorai az obesitas, a dohányzás és a hypertonia [36]. Potenciális rizikófaktornak tekinthető a terhességben mérhető emelkedett ösztrogén-, illetve progeszteronszint [37], elsősorban multiparáknál [38,39]. Legfőbb tünetei a fájdalom (50%), a haematuria (47%), a hypertonia (18%) és a klasszikus hármas tünet: haematuria, fájdalom, tapintható massza (26%) [40].…”

Section: Megbeszélésunclassified

A várandósság során jelentkező proteinuria differenciáldiagnosztikájának nehézségei

Szalay

Molnár

Kósa

et al. 2022

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Fiziológiás terhesség során is jelentős morfológiai, funkcionális, hemodinamikai változások történnek a vesében, melyek következtében kismértékben fokozódik a proteinuria. Ennek kóros mértékű növekedése azonban, főleg ha hypertoniával, illetve vesefunkció-beszűküléssel is jár, szoros anyai, valamint magzati nyomon követést igényel, hiszen súlyos perinatalis szövődményeket vetíthet előre. A proteinuria differenciáldiagnosztikája szerteágazó, az etiológia tisztázásakor elsődleges szempont a praeeclampsia, illetve az egyéb, esetleges primer vesebetegség elkülönítése. Sorra vesszük az etiológiai palettán fellelhető mindazon kórképeket, amelyek akár a praeeclampsia tünettanát is utánozhatják, megnehezítve ezáltal a pontos diagnózis felállítását. A 31 éves várandós esete kapcsán a terhesség során észlelt progrediáló proteinuria differenciáldiagnosztikáját tekintjük át. Postpartum egyértelművé vált a praeeclampsia diagnózisa, mellékleletként azonban vesemalignitás igazolódott. Arra is keressük a választ, vajon a vese rosszindulatú daganata felelőssé tehető-e a hypertoniát, progrediáló proteinuriát magában foglaló klinikumért. Orv Hetil. 2022; 163(34): 1362–1368.

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Renal cell carcinoma diagnosed during pregnancy: a case report and literature review

Cited by 7 publications

References 21 publications

Post-partum occurrence of Wunderlich syndrome and microangiopathic haemolytic anaemia (MAHA): a case report

Post-partum occurrence of Wunderlich syndrome and microangiopathic haemolytic anaemia (MAHA): a case report

Renal Oncocytoma in Pregnancy - A Case Report

A várandósság során jelentkező proteinuria differenciáldiagnosztikájának nehézségei

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