Haberal Hakan Bahadir, Tonyali Şenol, Baydar Dilek Ertoy, Bilen Cenk Yücel
Department of Urology, Hacettepe University School of Medicine, Ankara 06230, Turkey.
Department of Pathology, Hacettepe University School of Medicine, Ankara 06230, Turkey.
Oncol Lett. 2017 Nov;14(5):6117-6120. doi: 10.3892/ol.2017.6948. Epub 2017 Sep 15.
The majority of small cell carcinoma (SCC) cases originate from the lungs. SCC of the kidneys is rare. Among genitourinary tumors, renal cell carcinoma is the most common type of tumor to be associated with paraneoplastic syndromes. The majority of paraneoplastic syndromes disappear following nephrectomy in renal cell carcinoma cases. The present case involved the assessment of a female patient with SCC of the left kidney. The patient was diagnosed with acute renal failure and underwent a laparoscopic left radical nephrectomy. Surgical intervention removed the need for dialysis; the patient was under follow-up observation every week without any requirement for dialysis for 8 months and received adjuvant carboplatin-etoposide chemotherapy. Surgery is an option for dialysis-dependent patients with a renal tumor. The removal of the tumor burden may restore renal function and eliminate paraneoplastic syndromes.
大多数小细胞癌(SCC)病例起源于肺部。肾小细胞癌很罕见。在泌尿生殖系统肿瘤中,肾细胞癌是最常与副肿瘤综合征相关的肿瘤类型。在肾细胞癌病例中,大多数副肿瘤综合征在肾切除术后会消失。本病例涉及对一名左肾小细胞癌女性患者的评估。该患者被诊断为急性肾衰竭,并接受了腹腔镜下左肾根治性切除术。手术干预消除了透析的必要性;患者每周接受随访观察,8个月来无需透析,并接受了辅助性卡铂-依托泊苷化疗。对于依赖透析的肾肿瘤患者,手术是一种选择。去除肿瘤负荷可能恢复肾功能并消除副肿瘤综合征。