Case Study

Atypical Presentation of Renal Cell Carcinoma: A Case Report

Sadia Saber
Bangladesh Medical College, Bangladesh
* Corresponding author
Paritosh Kumar Ghosh
Bangladesh Medical College, Bangladesh
Mohammed Tarek Alam
Bangladesh Medical College, Bangladesh
Naz Yasmin
International Medical College, Bangladesh
Mohammad Monower Hossain
Bangladesh Medical College Hospital, Bangladesh
Rafa Faaria Alam
Bangladesh Medical College Hospital, Bangladesh
DOI icon 10.24018/ejmed.2021.3.1.650

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Submitted 2021-01-02
Published 2021-01-13

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Table of Contents

Article Main Content

The most common form of malignant renal tumours is Renal cell carcinoma (RCC) which is considered for nearly 80-85% of primary renal tumors. Now a day renal tumours can usually be detected at primary stage due to the popularity of sonography. Clinical manifestations of RCC have a diverse range. Loin pain, hematuria and abdominal mass contemplate as a classical triad but only present in 4–17% of cases. Here, we present a unique case of RCC in a 65 years old elderly gentleman admitted to our hospital with upper gastrointestinal (GI) symptoms without any significant GI involvement.

Keywords: Renal cell carcinoma, Gastrointestinal

References

  1. Kidney cancer statistics [database on the Internet]. Oxford: Cancer Research UK; 2017. Available from: http://www.cancerresearchuk.org/ health-professional/cancer-statistics/statistics-by-cancer-type/kidneycancer. Accessed October 9, 2017.
     Google Scholar
  2. Waters WB, Richie JP. Aggressive surgical approach to renal cell carcinoma: review of 130 cases. J Urol. 1979;122(3):306–308.
    DOI  |   Google Scholar
  3. Griffiths LH, Thackray AC. Parenchymal carcinoma of the kidney. Br J Urol. 1949;21:128–151.
    DOI  |   Google Scholar
  4. Hollingsworth JM, Miller DC, Daignault S, Hollenbeck BK. Rising incidence of small renal masses: a need to reassess treatment effect. J. Natl. Cancer Inst. 2006; 98: 1331–4.
    DOI  |   Google Scholar
  5. Chawla SN, Crispen PL, Hanlon AL, Greenberg RE, Chen DY, Uzzo RG. The natural history of observed enhancing renal masses: meta-analysis and review of the world literature. J. Urol. 2006; 175: 425–31.
    DOI  |   Google Scholar
  6. Volpe A, Panzarella T, Rendon RA, Haider MA, Kondylis FI, Jewett MA. The natural history of incidentally detected small renal masses. Cancer 2004; 100: 738–45.
    DOI  |   Google Scholar
  7. Zhao H, Han K, Li J, et al. A case of wedge resection of duodenum for massive gastrointestinal bleeding due to duodenal metastasis by renal cell carcinoma. World J SurgOncol. 2012;10:199.
    DOI  |   Google Scholar
  8. Gaetani Paolo, Dilene Antonio, Colombo Piergiuseppe, et al.: Calverial metastasis as clinical presentation of Renal Cell Carcinoma- a report of two cases and review of literature. Clinical Neurology and Neurosurgery 2005, 107:329-333.
    DOI  |   Google Scholar
  9. Lee Cheryl T, Katz Jared, Fearn Paul A, Russo Paul: Mode of presentation of Renal Cell Carcinoma- provides prognostic information. Urologic Oncology 2000, 7:135-140.
    DOI  |   Google Scholar
  10. Nassir Anmar, Jollimore Jason, Gupta Rekha, Bell David, Norman Richard: Multilocular cystic Renal Cell Carcinoma; a series of 12 cases and a review of literature. Urology 2002, 60:421-427.
    DOI  |   Google Scholar
  11. Kirkali Ziya, Obec Can: Clinical aspects of Renal Cell Carcinoma. EAU Update Series 2003, 1:89-196.
    DOI  |   Google Scholar
  12. Greenberg Richard E, Cooper Jeffrey, Knigel Robert L, et al.: Hoarseness, A unique clinical presentation of Renal cell Carcinoma.Urology 1992, 40:159-161.
    DOI  |   Google Scholar
  13. Mohamed MO, Al-Rubaye S, Reilly IW, Mcgoldrick S. Renal cell carcinoma presenting as an upper gastrointestinal bleeding. BMJ Case Rep. 2015;2015:bcr2015211553.
    DOI  |   Google Scholar
  14. Gorski RL, Jalil SA, Razick M, Jalil AA. An obscure cause of gastrointestinal bleeding: renal cell carcinoma metastasis to the small bowel. Int J Surg Case Rep. 2015;15:130–132.
    DOI  |   Google Scholar
  15. Tiwari P, Tiwari A, Vijay M, Kumar S, Kundu AK. Upper gastrointestinal bleeding – Rare presentation of renal cell carcinoma. Urol Ann. 2010;2(3):127–129.
    DOI  |   Google Scholar
  16. Sakurai K, Muguruma K, Yamazoe S, et al. Gastric metastasis from renal cell carcinoma with gastrointestinal bleeding: a case report and review of the literature. Int Surg. 2014;99(1):86–90.
    DOI  |   Google Scholar


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