A case-report of chromophobe renal cell carcinoma with renal subcapsular hematoma

被引:1
作者
Yin, Yuehui [1 ]
Tang, Shanfang [2 ]
机构
[1] Weifang Peoples Hosp, Dept Radiol, Weifang, Shandong, Peoples R China
[2] Weifang Peoples Hosp, Dept Publ Hlth, 151 Guangwen St, Weifang 261041, Shandong, Peoples R China
关键词
Chromophobe renal cell carcinoma; Renal hematoma; Nephrectomy; Imaging examination; Case report;
D O I
10.1016/j.ijscr.2024.109608
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction and importance: Chromophobe renal cell carcinoma (CHRCC) is a rare subtype of renal cancer, accompanied by subcapsular renal hematoma (SRH) without a history of traumatic or hemorrhagic disease, which is clinically rare. The reason for CHRCC with SRH may be caused by tumor rupture or vascular rupture. In the early stage, it is often asymptomatic and can be easily overlooked and misdiagnosed, leading to delayed treatment and serious consequences. Case presentation: A 39-year-old female patient was admitted to the emergency department due to sudden dull pain and discomfort in the lower back. Subsequent ultrasound, CT, and MRI imaging examinations revealed the presence of chromophobe renal cell carcinoma with a volume of 4.5 x 3.5 x 3 cm in the middle and lower pole of the right kidney. In addition, a subcapsular hematoma with an area of approximately 6 x 11 cm was also found. The patient underwent laparoscopic radical nephrectomy. Clinical discussion: Due to its atypical syptmoms and signs, it is often overlooked or misdiagnosed. CHRCC has unique histological features, which distinguish it from other subtypes of renal cell carcinoma. Imaging studies such as CT scan and MRI are helpful in diagnosing and identifying associated complications. In this case, the presence of the perirenal hematoma is a notable finding, which may be caused by tumor-induced vascular disruption. Conclusion: This report underscores the importance of recognizing and managing complications associated with CHRCC. Early diagnosis and appropriate surgical treatment are crucial for favorable outcomes in these cases.
引用
收藏
页数:5
相关论文
共 15 条
[1]   Metachronous isolated locally advanced pancreatic metastasis from chromophobe renal cell carcinoma [J].
Ayari, Y. ;
Ben Rhouma, S. ;
Boussaffa, H. ;
Chelly, B. ;
Hamza, K. ;
Sellami, A. ;
Jrad, M. ;
Nouira, Y. .
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2019, 60 :196-199
[2]   Chromophobe Renal Cell Carcinoma: Results From a Large Single-Institution Series [J].
Casuscelli, Jozefina ;
Becerra, Maria F. ;
Seier, Kenneth ;
Manley, Brandon J. ;
Benfante, Nicole ;
Redzematovic, Almedina ;
Stief, Christian G. ;
Hsieh, James J. ;
Tickoo, Satish K. ;
Reuter, Victor E. ;
Coleman, Jonathan A. ;
Russo, Paul ;
Ostrovnaya, Irina ;
Hakimi, A. Ari .
CLINICAL GENITOURINARY CANCER, 2019, 17 (05) :373-+
[3]  
Cheng L., 2020, Urologic Surgical Pathology, DOI [10.1016/C2016-0-03492-7, DOI 10.1016/C2016-0-03492-7]
[4]   Wunderlich syndrome and regression of angiomyolipoma [J].
Choi, Hong Sang ;
Kim, Chang Seong ;
Ma, Seong Kwon ;
Kim, Soo Wan ;
Bae, Eun Hui .
KOREAN JOURNAL OF INTERNAL MEDICINE, 2020, 35 (06) :1528-1529
[5]   Effect of incidental detection for survival of patients with renal cell carcinoma: Results of population-based study of 701 patients [J].
Gudbjartsson, T ;
Thoroddsen, A ;
Petursdottir, V ;
Hardarson, S ;
Magnusson, J ;
Einarsson, GV .
UROLOGY, 2005, 66 (06) :1186-1191
[6]   Differences in organ system of distant metastasis by renal cell carcinoma subtype [J].
Hoffmann, Nathan E. ;
Gillett, Michael D. ;
Cheville, John C. ;
Lohse, Christine M. ;
Leibovich, Bradley C. ;
Blute, Michael L. .
JOURNAL OF UROLOGY, 2008, 179 (02) :474-477
[7]   How I do it: Evaluating renal masses [J].
Israel, GM ;
Bosniak, MA .
RADIOLOGY, 2005, 236 (02) :441-450
[8]   Chromophobe renal cell carcinoma: current and controversial issues [J].
Moch, Holger ;
Ohashi, Riuko .
PATHOLOGY, 2021, 53 (01) :101-108
[9]   A Novel Tumor Grading Scheme for Chromophobe Renal Cell Carcinoma Prognostic Utility and Comparison With Fuhrman Nuclear Grade [J].
Paner, Gladell P. ;
Amin, Mahul B. ;
Alvarado-Cabrero, Isabel ;
Young, Andrew N. ;
Stricker, Hans J. ;
Moch, Holger ;
Lyles, Robert H. .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2010, 34 (09) :1233-1240
[10]   Wunderlich Syndrome: Wonder What It Is [J].
Parmar, Nishita ;
Langdon, Jonathan ;
Kaliannan, Krithica ;
Mathur, Mahan ;
Guo, Yang ;
Mahalingam, Sowmya .
CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY, 2021, 51 (02) :270-281