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[A Case of Multiple Renal Carcinomas with Three Different Subtypes]
Takehiro Ohyama1, Masaki Shimbo1, Fumiyasu Endo1
1The Department of Urology, St Luke's International Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|September 2, 2021
Summary
This case study highlights a rare instance of multiple renal carcinomas in a long-term dialysis patient. Radical nephrectomy is recommended due to the high incidence of kidney cancer in dialysis patients.
Area of Science:
- Nephrology
- Oncology
- Radiology
Background:
- Long-term dialysis patients have an increased risk of renal cell carcinoma.
- Polycystic kidney disease is a known risk factor for renal carcinoma in dialysis patients.
Observation:
- A 74-year-old man on dialysis for 20 years presented with flank pain due to subcapsular hemorrhage.
- Initial transcatheter arterial embolization (TAE) failed to control bleeding, necessitating a second TAE and ultimately a right radical nephrectomy.
- Pathological examination revealed three distinct renal carcinomas, unrelated to the bleeding site.
Findings:
- The patient had multiple, spatially distinct renal carcinomas.
- The case underscores the complexity of managing renal pathologies in long-term dialysis patients.
Implications:
- Radical nephrectomy may be indicated for dialysis patients with suspected or confirmed renal masses, even in cases of spontaneous rupture.
- This case emphasizes the importance of vigilant surveillance for renal malignancies in patients undergoing long-term hemodialysis.
- Early detection and surgical intervention are crucial for managing multiple renal carcinomas in this high-risk population.
