Carcinoma de células renais. Estudo retrospectivo clínico-patológico de 46 casos
DOI:
https://doi.org/10.32635/2176-9745.RBC.1992v38n1.3066Keywords:
Clear Cell Carcinoma, Hypernephroma, Renal Adenocarcinoma, Renal Cell CarcinomaAbstract
Forty-six cases of renal cell carcinomas from the INCa were analysed from January/76 to December/85. Clinical and Pathological features were compared with those described by other authors. There was a preponderance of males. The incidence was higherin the 6th decade of life (one case occurred in a 5 years-old child). The most frequente symptoms were hematuria, abdominal pain and weight loss. The triad hematuria, pain and palpable mass was found in four cases (8.6%). Metastases involved mainly the lungs, bones and lymphonodes. In conclusion: clinical staging showed to be important in prognosis. There was a statistically significant difference between survival in regional and advanced disease.
Downloads
References
COHEN C, McCUE PA, DEROSE PB, COHEN CC. Histogenesis of renal cell carcinoma and renal oncocytoma. Na immunohistochemical study. Câncer 1988; 62:1946-51. DOI: https://doi.org/10.1002/1097-0142(19881101)62:9<1946::AID-CNCR2820620913>3.0.CO;2-S
BENNINGTON JL, BECKWITH JB. Renal Adenocarcinoma. In: Ferminger Hl ed. Tumors of the Kidney, Renal Pélvis, and Ureter, vol. 12, 2TM* ed., Washington, DC: Armed Forces Institute of Pathology 1975: 93-199.
WILLIAMS RD. Tumors of the Kidney, Ureter, and Bladder. Wyngaarden JB, Smith Jr LH eds. In: Cecil Textbook of Medicine, Vol. 1, 18th ed. Philadelphia: WB Saunders Co., 1988:650-54.
FURHMAN SA, LASKY LC, LIMAS C. Prognostic significance of morfologic parameters in renal cell carcinoma. Am J Surg Pathol 1982; 6: 655-63. DOI: https://doi.org/10.1097/00000478-198210000-00007
MEDEIROS U, GELB AB, WEISS LM. Renal cell carcinoma prognostic significance of morfologic parameters in 121 Cases. Câncer 1988; 61:1639-51. DOI: https://doi.org/10.1002/1097-0142(19880415)61:8<1639::AID-CNCR2820610823>3.0.CO;2-F
SELLI C, HINSHAW WM, WOODARD BH, PAULSON DF. Stratification of risk factors in renal cell carcinoma. Câncer 1983; 52; 899-903. DOI: https://doi.org/10.1002/1097-0142(19830901)52:5<899::AID-CNCR2820520526>3.0.CO;2-#
SKINNER DG, COLVIN RB, VERMILLION CD, PFISTER RC, LEADBETTER WF. Diagnosis and management of renal cell carcinoma. A clinical and pathological study of 309 Cases. Câncer 1971; 28: 1165-77. DOI: https://doi.org/10.1002/1097-0142(1971)28:5<1165::AID-CNCR2820280513>3.0.CO;2-G
ROBSON CJ, CHURCHILL BM, ANDERSON W. The results of radical nefrectomy for renal cell carcinoma. J Urol 1969; 101: 297-301. DOI: https://doi.org/10.1016/S0022-5347(17)62331-0
RO JY, AYALA AG, SELLA A, SAMUELS ML, SWANSON DA. Sarcomatoid renal cell carcinoma: clinicopathologic. A study of 42 cases. Câncer 1987; 59:516-26. DOI: https://doi.org/10.1002/1097-0142(19870201)59:3<516::AID-CNCR2820590327>3.0.CO;2-W
MANCILLA-JIMENEZ R, STANLEY RJ, BLATH RA. Papillary renal cell carcinoma. A clinical, radiologic and pathologic study of 34 cases. Câncer 1976; 38:2469-80. DOI: https://doi.org/10.1002/1097-0142(197612)38:6<2469::AID-CNCR2820380636>3.0.CO;2-R
CAMPOS H. Estatística experimental não Paramétrica. 4ª ed. Departamento de Matemática e Estatística, ESALQ, USP. Piracicaba, SP 1983; 113-34; 202-11.
KAPLAN EL, MEIER P. Nonparametric estimation from incomplete observations. J Am Stat Ass 1958; 53:457-81. DOI: https://doi.org/10.1080/01621459.1958.10501452
EARP PPS. Tumores Renais. J Bras Med 1984; 46; 111-28.
LACK EE, CASSADY JR, SALLAN SE. Renal cell carcinoma in childhood and adolescence; a clinical and pathological study of 17 cases. J Urol 1985; 133:822-28. DOI: https://doi.org/10.1016/S0022-5347(17)49242-1
SROUGI M, ARAP S, TOLEDO WP. Adenocarcinoma renal: estado atual dos conhecimentos. J Bras Urol 1986; 12:85-92.
SAITOH H. Distant metastasis of renal adenocarcinoma. Câncer 1981; 48; 1487-91. DOI: https://doi.org/10.1002/1097-0142(19810915)48:6<1487::AID-CNCR2820480635>3.0.CO;2-9
GAY RC, LITCHY WJ, CASCINO TL. Brain metastasis in hypernephroma. J Neuro-Oncol 1987; 5:51-56. DOI: https://doi.org/10.1007/BF00162765
BERTONI F, FERRI C, BENATl A, BACCHINI P, CORRADO F. Sarcomatoid carcinoma of the kidney. JUrol 1987; 137:25-28. DOI: https://doi.org/10.1016/S0022-5347(17)43860-2
LJUNGBERG B, STENLING R, ROOS G. DNA Content in renal cell cardnoma with reference to tumor heterogeneity. Câncer 1985; 56: 503-508. DOI: https://doi.org/10.1002/1097-0142(19850801)56:3<503::AID-CNCR2820560316>3.0.CO;2-N