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.
机构:
Mem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Ludwig Maximilians Univ Munchen, Dept Urol, Munich, GermanyMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Casuscelli, Jozefina
;
Becerra, Maria F.
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Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Becerra, Maria F.
;
Seier, Kenneth
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机构:
Mem Sloan Kettering Canc Ctr, Dept Epidemiol & Biostat, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Seier, Kenneth
;
Manley, Brandon J.
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机构:
Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USA
H Lee Moffitt Canc Ctr & Res Inst, Dept Genitourinary Oncol, Tampa, FL USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Manley, Brandon J.
;
Benfante, Nicole
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Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Benfante, Nicole
;
Redzematovic, Almedina
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机构:
Mem Sloan Kettering Canc Ctr, Dept Med, Genitourinary Oncol Serv, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Redzematovic, Almedina
;
Stief, Christian G.
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机构:
Ludwig Maximilians Univ Munchen, Dept Urol, Munich, GermanyMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Stief, Christian G.
;
Hsieh, James J.
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Washington Univ, Dept Med, Mol Oncol, Siteman Canc Ctr, St Louis, MO USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Hsieh, James J.
;
Tickoo, Satish K.
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Mem Sloan Kettering Canc Ctr, Dept Pathol, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Tickoo, Satish K.
;
Reuter, Victor E.
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Mem Sloan Kettering Canc Ctr, Dept Pathol, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Reuter, Victor E.
;
Coleman, Jonathan A.
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Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Coleman, Jonathan A.
;
Russo, Paul
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Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Russo, Paul
;
Ostrovnaya, Irina
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Mem Sloan Kettering Canc Ctr, Dept Epidemiol & Biostat, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Ostrovnaya, Irina
;
Hakimi, A. Ari
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机构:
Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
机构:
Mem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Ludwig Maximilians Univ Munchen, Dept Urol, Munich, GermanyMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Casuscelli, Jozefina
;
Becerra, Maria F.
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h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Becerra, Maria F.
;
Seier, Kenneth
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h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Dept Epidemiol & Biostat, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Seier, Kenneth
;
Manley, Brandon J.
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USA
H Lee Moffitt Canc Ctr & Res Inst, Dept Genitourinary Oncol, Tampa, FL USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Manley, Brandon J.
;
Benfante, Nicole
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Benfante, Nicole
;
Redzematovic, Almedina
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Dept Med, Genitourinary Oncol Serv, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Redzematovic, Almedina
;
Stief, Christian G.
论文数: 0引用数: 0
h-index: 0
机构:
Ludwig Maximilians Univ Munchen, Dept Urol, Munich, GermanyMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Stief, Christian G.
;
Hsieh, James J.
论文数: 0引用数: 0
h-index: 0
机构:
Washington Univ, Dept Med, Mol Oncol, Siteman Canc Ctr, St Louis, MO USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Hsieh, James J.
;
Tickoo, Satish K.
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Dept Pathol, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Tickoo, Satish K.
;
Reuter, Victor E.
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Dept Pathol, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Reuter, Victor E.
;
Coleman, Jonathan A.
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Coleman, Jonathan A.
;
Russo, Paul
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h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Russo, Paul
;
Ostrovnaya, Irina
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Dept Epidemiol & Biostat, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA
Ostrovnaya, Irina
;
Hakimi, A. Ari
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, New York, NY 10065 USAMem Sloan Kettering Canc Ctr, Human Oncol & Pathogenesis Program, New York, NY 10065 USA