Abstract:
:Renal cell carcinoma accounts for 75% of renal neoplasms. Clear cell carcinoma is diagnosed in about 80% of the cases. Renal cell carcinoma most frequently metastasizes to the lungs (50-60%), lymph nodes (36%), bones (30-40%), liver (30-40%), and brain (5%). In other organs the metastasis changes are observed very rarely. Ovarian metastases are found in 0.5% of renal cancers. So far, only 23 cases of renal cell carcinoma metastases to the ovary have been reported in the literature. In 18 cases they were metastases of renal cell carcinoma of the clear cell type. The authors present a case of a 50-year-old woman with double-sided metastatic changes to the ovary from renal cell carcinoma. The patient was admitted to the Gynecological ward with preliminary diagnosis of ovarian tumors. Gynecological examination revealed double-sided ovarian tumors, 6-7cm in diameter. Computed tomography also showed a 155 x 80 mm hetrogenous, multiform tumor localized above the uterus. In addition, CT showed a 75 x 55 mm tumor in the lower pole, and a smaller one, 15 mm in diameter in the upper pole of the right kidney. Laboratory tests were normal. The antigen Ca 125 was 25 j/ml. Mammography cytology gastroscopy colonoscopy were normal. The consulting urologist proposed a two-stage treatment. In the first stage, the removal of the double-sided ovarian tumors was proposed, while in the second stage the right nephrectomy was suggested. Double-sided ovarian tumors were found and removed (in the wall of the cyst- yellow, solid masses) during the first operation. Intraoperative histological examination showed changes with unknown grade of malignancy in both ovaries (number of studies QN 291). The patient underwent total hysterectomy. On day 5 postoperatively the woman was discharged from the hospital in good condition with the recommendation to pick up the histological test result in two weeks time. The final histological examination showed metastatic changes of renal cell carcinoma of the clear cell type (number of studies QN569-582, QN 585-608). The diagnosis of bilateral renal cell carcinoma metastases to the ovaries was confirmed by immunohistochemical studies using antibodies CD 10 and Vimentin (number of studies CT 1558-1559). The patient was directed to the Urological Ward. The surgery confirmed the presence of the tumor in the lower pole (about 8 cm in size), and a smaller one (about 1 cm in size) in the upper pole of the right kidney. The right nephrectomy was performed. Histological examination confirmed the primary clear cell renal cell carcinoma. The patient was directed to the next oncological treatment.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Hołody-Zareba J,Kinalski P,Sulkowski S,Kozłowski R,Kinalski Mdoi
10.17772/gp/1620subject
Has Abstractpub_date
2013-07-01 00:00:00pages
650-3issue
7eissn
0017-0011issn
2543-6767journal_volume
84pub_type
杂志文章abstract::This study was conducted to evaluate the role of transvaginal color Doppler ultrasonography in detecting endometrial pathology in postmenopausal women A group of 140 women with abnormal postmenopausal bleeding was examined by TVS with color Doppler before D & C. Histopathologic and blood flow characteristics were eval...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract:INTRODUCTION:Ectopic pregnancy may lead to massive haemorrhage, infertility or death. Prompt diagnosis and treatment are crucial to save patients who would otherwise die. Serum amylase and lipase measurements are known biochemical markers of pancreatic inflammation and a recognized finding that may help diagnose acute ...
journal_title:Ginekologia polska
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abstract:OBJECTIVES:According to the literature the frequency of twins is increasing due to technics af assisted reproduction. Many complications of pregnancy and delivery are more likely to develop during multiple pregnancy. DESIGN:Aim of the study was to analyze labour and delivery in multiple pregnancy and assess the neonat...
journal_title:Ginekologia polska
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doi:
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVES:The aim of the following work was to evaluate vaginal and cervical colonization in patients with threatening preterm labor and comparing the frequency of colonization of the term and preterm labor groups. MATERIAL AND METHODS:532 pregnant women with threatening preterm labor were included into the clinical ...
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journal_title:Ginekologia polska
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doi:
更新日期:1994-03-01 00:00:00
abstract::The past few years brought high development in obtaining and culturing autologous adult stem cells. In this paper we review publications of experimental investigations and clinical trials of the muscle-derived cells and the application in the treatment of stress urinary incontinence among women. Mesenchymal stem cells...
journal_title:Ginekologia polska
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更新日期:2010-05-01 00:00:00
abstract::Subarachnoid haemorrhage (SAH) from an intracranial aneurysm or arteriovenous malformation is a grave complication of pregnancy. Authors critically analyzed 12 cases of verified SAH during pregnancy from an 11 identified and 1 unidentified cerebral vascular malformation. Aneurysms were responsible for SAH in 7, and ar...
journal_title:Ginekologia polska
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abstract::To make use of antigonadotropin and antiproliferating action of the synthetic analogs of GnRH there was applied this decapeptide in 33 patients with ovarian cancer who were treated traditionally by chemotherapeutics PAC and radiotherapy. The monitoring of treatment was supported on the clinical opinion of the whole an...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
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更新日期:1996-10-01 00:00:00
abstract::Since testes and adrenal cortex derive from the same urogenital ridge, adrenal tissue with descending gonads may migrate in early embryonic period. Although most often ectopic tissue undergoes atrophy in some cases, when adrenocorticotrophic (ACTH) overstimulation occurs, the adrenal remnants in the testes may become ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
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journal_title:Ginekologia polska
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doi:
更新日期:2000-03-01 00:00:00
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journal_title:Ginekologia polska
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doi:
更新日期:1992-08-01 00:00:00
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journal_title:Ginekologia polska
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更新日期:1999-05-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1994-11-01 00:00:00
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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doi:
更新日期:2004-11-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
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doi:
更新日期:2014-10-01 00:00:00
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journal_title:Ginekologia polska
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journal_title:Ginekologia polska
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doi:
更新日期:1997-11-01 00:00:00
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journal_title:Ginekologia polska
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更新日期:1996-01-01 00:00:00
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