Böbrek toplayıcı tübül kanseri: Olgu sunumu
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Dosyalar
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Fırat Tıp Dergisi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Öz: Böbrek hücreli kanserler içerisinde; toplayıcı tübül (Bellini) kanserleri, oldukça ender görülür. Bu yazıda, kliniğimize 6 aydır süren sol lomber ağrı ve 1 kez hematüri yakınması ile başvuran 60 yaşında hasta sunulmaktadır. Abdominal ultrasonografı, bilgisayarlı tomografi (BT) ve intravenöz piyelografıde; sol böbrek pelvisi düzeyini dolduran 4x8,5 cm ebatlarında, lobüle kontürlü, solid kitle gözlendi. Hastaya sol transperitoneal radikal nefrektomi uygulandı. Histopatolojik inceleme; Toplayıcı tübül (Bellini) kanserinin, papiller tübüler tipi olduğunu ortaya koydu. İmmünhistokimyasal incelemede; sitokeratin-7 (CK-7), CEA, HMWCK ile immünreaktivite belirlendi. Hastanın kontrollerinde, lokal nüks ve akciğer metastazı saptandı. Toplayıcı tübül kanserleri, son derece ender ve tanısı zor konan tümörlerdir ve prognozu oldukça kötü seyretmektedir.
Abstract: Introduction: Collecting duct carcinomas are seen extremely rare. In this report, a 60-year-old man, who admitted to our clinic with hematuria, that had occurred one time in the past and left flank pain for six months, is presented. Abdominal ultrasonography (USG), computed tomography (CT) and intravenous pyelography (IVP) revealed a lobulated, hypoechoic, solid mass lesion, 4x8.5 cm in dimension, at the left renal pelvis level. Left transperitoneal radical nephrectomy was performed. The histopathological diagnosis was collecting duct carcinoma (Bellini) of papillary tubular type. Immunohistochemically, neoplastic cells had positive immunoreactivity to cytokeratine-7 (CK-7), CEA and HMWCK. Reevaiuation of the patient demonstrated local recurrence and pulmonary metastases. Collecting duct carcinomas (CDC) are seen extremely rare and have poor prognosis and their diagnosis are difficult.
Abstract: Introduction: Collecting duct carcinomas are seen extremely rare. In this report, a 60-year-old man, who admitted to our clinic with hematuria, that had occurred one time in the past and left flank pain for six months, is presented. Abdominal ultrasonography (USG), computed tomography (CT) and intravenous pyelography (IVP) revealed a lobulated, hypoechoic, solid mass lesion, 4x8.5 cm in dimension, at the left renal pelvis level. Left transperitoneal radical nephrectomy was performed. The histopathological diagnosis was collecting duct carcinoma (Bellini) of papillary tubular type. Immunohistochemically, neoplastic cells had positive immunoreactivity to cytokeratine-7 (CK-7), CEA and HMWCK. Reevaiuation of the patient demonstrated local recurrence and pulmonary metastases. Collecting duct carcinomas (CDC) are seen extremely rare and have poor prognosis and their diagnosis are difficult.
Açıklama
Anahtar Kelimeler
Kaynak
Fırat Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
16
Sayı
4
Künye
HIZLI F,KEBAT T,UYGUR M. C (2005). Böbrek toplayıcı tübül (Bellini) kanseri: Olgu sunumu. Türk Üroloji Dergisi/Turkish Journal of Urology, 31(1), 138 - 141.
