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[Nephrectomy of a giant hypernephroma (5,150 g)]
J J Ballesteros Sampol1, J Lloreta Trull
1Servicios de Urología y Anatomía Patológica, Hospital Ntra. Sra. de la Esperanza, Barcelona.
Actas Urologicas Espanolas
|August 23, 2002
Summary
A giant kidney cancer weighing 5150g was surgically removed from a 52-year-old male. This extreme case of renal adenocarcinoma presented severe symptoms and required radical surgery.
Area of Science:
- Urology
- Oncology
- Surgical Pathology
Background:
- Renal adenocarcinoma, a common kidney cancer, can present with significant clinical manifestations.
- Giant tumors are rare, posing unique surgical challenges and diagnostic considerations.
Observation:
- A 52-year-old male presented with severe hematuria, fever, flank pain, abdominal discomfort, and weight loss.
- The patient had a massive renal adenocarcinoma weighing 5150g.
- Initial treatment with left renal artery embolization for severe anemia did not resolve the hematuria.
Findings:
- Radical surgery was performed for the giant renal adenocarcinoma.
- This case represents the largest excised kidney adenocarcinoma documented in the world literature (Medline 1966-2001).
Implications:
- Highlights the potential for extreme tumor growth in renal adenocarcinoma.
- Emphasizes the importance of surgical intervention for large, symptomatic renal masses.
- Contributes to the understanding of rare, large-scale oncological presentations.