title: [Cutaneous and gynecologic metastases disclosing renal-cell carcinoma: the diagnostic and therapeutic implications].
abstract: The spread of is uncommon renal cell carcinoma to the female genital system it is even more uncommon to observe metastasis or its symptoms or signs, masking or preceding the clinical manifestations of the primary lesion. In the course of nephrectomy due to renal tumor, the early ligation of the gonadal vein during the control maneuvers of the vascular pedicle can reduce the risk of posterior genital metastasis. Similarly, the skin is an uncommon site of metastasis. The appearance of cutaneous metastasis from renal cell carcinoma may precede the detection of the underlying tumor, although most of the cutaneous metastases are observed after the primary lesion has been detected. In patients with solitary skin metastasis and no evidence of spread to other organ systems, nephrectomy and excision of the metastatic lesion have permitted a survival of 35% at 5 years.
authors.affiliation: Cátedra de Urología, Hospital Universitario San Carlos, Universidad Complutense de Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: Páez Borda
authors.forename: L
authors.initials: L
authors.lastname: Nacarino Corbacho
authors.forename: A
authors.initials: A
authors.lastname: Diego García
authors.forename: L
authors.initials: L
authors.lastname: Prieto Chaparro
authors.forename: J A
authors.initials: JA
authors.lastname: Delgado Martín
authors.forename: J
authors.initials: J
authors.lastname: Salinas Casado
authors.forename: A
authors.initials: A
authors.lastname: Silmi Moyano
authors.forename: L
authors.initials: L
authors.lastname: Resel Estévez
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002292:Carcinoma, Renal Cell / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005833:Genital Neoplasms, Female / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000601:surgery; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis / Q000601:surgery; D012878:Skin Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery
vernacular_title: Metástasis cutáneas y ginecológicas reveladoras del carcinoma de células renales: implicaciones diagnósticas y terapéuticas.