Carcinoma de células renais. Estudo retrospectivo clínico-patológico de 46 casos
DOI:
https://doi.org/10.32635/2176-9745.RBC.1992v38n1.3066Palabras clave:
Adenocarcinoma Renal, Carcinoma de Células Claras do Rim, Carcinoma de Células Renais, HipernefromaResumen
Analisaram-se 46 casos de carcinoma de células renais do INCa, no período de janeiro/76 a dezembro/85, sendo os aspectos clínicos e patológicos comparados com os da literatura. Houve mais homens que mulheres, e a incidência foi maior na 6ª década (um caso ocorreu numa criança de 5 anos). Sinais mais comuns: hematúria, dor abdominal e perda de peso. A tríade hematúria, dor e massa palpável ocorreu em quatro casos (8,6%). As metástases acometeram mais freqüentemente pulmões, ossos e linfonodos. Conclui-se que o estadiamento clínico é um fator prognóstico importante, havendo diferença estatisticamente significativa entre a sobrevida na doença locorregional e na doença avançada.
Descargas
Citas
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
