Renal cancer as an incidental finding: the importance of physical examination at outpatient visit
- 作者: Karpenko D.G.1, Fedorova E.V.1, Mikava K.R.1, Larina V.N.1
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隶属关系:
- N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
- 期: 卷 10, 编号 2 (2024)
- 页面: 92-99
- 栏目: CLINICAL CASE
- URL: https://journals.eco-vector.com/2412-4036/article/view/631835
- DOI: https://doi.org/10.18565/therapy.2024.2.92-99
- ID: 631835
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The article describes a case of detection of a clinical sign of kidney cancer during an outpatient examination of 55-year-old patient with suspected acute respiratory viral infection, which turned out to be a manifestation of synchronous kidney cancer with metastasis to the pancreas. During a physical examination in the left hypochondrium, the doctor discovered a dense formation up to 10 cm in size, painless by palpation. According to the results of computed tomography of abdominal organs and retroperitoneal space with contrast enhancement, a retroperitoneal formation on the left and a formation of the pancreas tail were identified. Subsequently, in the hospital, the patient underwent left nephradrenalectomy, right kidney resection, and pancreatic resection with splenectomy. Current observation emphasizes the importance of regular preventive examinations and medical screenings, as well as the importance of performing an objective physical examination of the patient at every visit to the doctor in order to identify signs of malignant neoplasm as early as possible.
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作者简介
Dmitry Karpenko
N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
编辑信件的主要联系方式.
Email: karpenko_dg@mail.ru
ORCID iD: 0000-0002-1924-9514
MD, PhD (Medicine), associate professor of the Department of polyclinic therapy of the Faculty of general medicine
俄罗斯联邦, 117997, Moscow, 1 Ostrovityanova St.Ekaterina Fedorova
N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
Email: evfedorova91@mail.ru
ORCID iD: 0000-0002-7623-7376
MD, PhD (Medicine), assistant of the Department of polyclinic therapy of the Faculty of general medicine
俄罗斯联邦, 117997, Moscow, 1 Ostrovityanova St.Kristina Mikava
N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
Email: mikavakris@gmail.com
ORCID iD: 0000-0002-0248-3814
MD, assistant at the Department of polyclinic therapy of the Faculty of general medicine
俄罗斯联邦, 117997, Moscow, 1 Ostrovityanova St.Vera Larina
N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
Email: larina_vn@rsmu.ru
ORCID iD: 0000-0001-7825-5597
MD, Dr. Sci. (Medicine), professor, head of the Department of polyclinic therapy of the Faculty of general medicine
俄罗斯联邦, 117997, Moscow, 1 Ostrovityanova St.参考
- Bray F., Ferlay J., Soerjomataram I. et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018; 68(6): 394−424. https://doi.org/10.3322/caac.21492. PMID: 30207593.
- Клинические рекомендации. Рак паренхимы почки. Общероссийская общественная организация «Российское общество онкоурологов», Ассоциация онкологов России, Общероссийская общественная организация «Российское общество клинической онкологии», Общероссийская общественная организация «Российское общество урологов». Рубрикатор клинических рекомендаций Минздрава России. 2023. ID: 10. Доступ: https://cr.minzdrav.gov.ru/schema/10_4 (дата обращения – 10.01.2024). [Clinical guidelines. Renal cell carcinoma. Russian Society of Oncology Urologists, Association of Oncologists of Russia, Russian Society of Clinical Oncology, Russian Society of Urologists. Rubricator of clinical guidelines of the Ministry of Healthcare of Russia. 2023. ID: 10. URL: https://cr.minzdrav.gov.ru/schema/10_4 (date of access – 10.01.2024) (In Russ.)].
- EAU guidelines. Renal cell carcinoma. Edn. presented at the EAU Annual Congress Milan 2023. URL: https://uroweb.org/guidelines/renal-cell-carcinoma (date of access – 26.01.2024). ISBN: 978-94-92671-19-6.
- Степанова Ю.А., Калинин Д.В., Вишневский В.А. Первично-множественные опухоли (обзор литературы). Медицинская визуализация. 2015; (6): 93–102. [Stepanova Yu.A., Ka-linin D.V., Vishnevsky V.A. Multiple primary neoplasms (literature review). Meditsinskaya vizualizatsiya = Medical Visualization. 2015; (6): 93–102 (In Russ.)]. EDN: VLRUMN.
- Sekulic M., Amin K., Mettler T. et al. Pancreatic involvement by metastasizing neoplasms as determined by endoscopic ultrasound-guided fine needle aspiration: А clinicopathologic characterization. Diagn Cytopathol. 2017; 45(5): 418–25.https://doi.org/10.1002/dc.23688. PMID: 28205397.
- Yoon W.J., Ryu J.K., Kim Y.T. et al. Clinical features of metastatic tumors of the pancreas in Korea: A single-center study. Gut Liver. 2011; 5(1): 61–64. http://doi.org/10.5009/gnl.2011.5.1.61. PMID: 21461074. PMCID: PMC3065095.
- Гальчина Ю.С., Карельская Н.А., Кармазановский Г.Г. с соавт. Метастазы в поджелудочной железе: лучевые методы оценки криодеструкции. Медицинская визуализация. 2021; 25(1): 35–53. [Galchina Yu.S., Karelskaja N.A., Kаrmаzаnovsky G.G. et al. Metastasesin the pancreas: radiation methods assessment of cryodestruction. Meditsinskaya vizualizatsiya = Medical Visualization. 2021; 25(1): 35–53 (In Russ.)]. https://doi.org/10.24835/1607-0763-813. EDN: FBAASU.
- Патютко Ю.И., Котельников А.Г., Кригер А.Г. с соавт. Метастазы рака почки в поджелудочную железу: опыт хирургического лечения. Хирургия. Журнал им. Н.И. Пирогова. 2019; (9): 25–31. [Patyutko Yu.I., Kotelnikov A.G., Kriger A.G. et al. Metastatic renal cell carcinoma to the pancreas: Experience of surgical treatment. Khirurgiya. Zurnal im. N.I. Pirogova = Pirogov Russian Journal of Surgery. 2019; (9): 25–31 (In Russ.)]. https://doi.org/10.17116/hirurgia201909125. EDN: SWGZYD.
- Котельников А.Г., Кригер А.Г., Подлужный Д.В. с соавт. Метастазы рака почки в поджелудочной железе: сравнительная эффективность хирургии и фармакотерапии. Онкоурология. 2019; 15(4): 58–64. [Kotelnikov A.G., Kriger A.G., Podluzhny D.V. et al. Pancreatic metastases from renal cancer: comparing surgery and pharmacotherapy efficacy. Onkourologiya = Cancer Urology. 2019; 15(4): 58–64 (In Russ.)]. https://doi.org/10.17650/1726-9776-2019-15-4-58-64. EDN: NREBCH.
- Rossi S.H., Hsu R., Blick C. et al. Meta-analysis of the prevalence of renal cancer detected by abdominal ultrasonography. Br J Surg. 2017; 104(6): 648–59. https://doi.org/10.1002/bjs.10523. PMID: 28407225.
- Александрова Л.М., Грецова О.П., Калинина А.М. с соавт. Роль диспансеризации в выявлении рака почки в России. Онкология. Журнал им. П.А. Герцена. 2015; 4(5): 44–48. [Aleksandrova L.M., Gretsova O.P., Kalinina A.M. et al. Role of prophylactic medical exami-nation in the detection of kidney cancer in Russia. Onkologiya. Zhurnal imeni P.A. Gertsena = P.A. Herzen Journal of Oncology. 2015; 4(5): 44–48 (In Russ.)]. https://doi.org/10.17116/onkolog20154544-48. EDN: VHFDUX.
