title: [Rectal hemorrhage as a first sign of renal cell adenocarcinoma].
abstract: Renal cell carcinoma accounts for 85% of all renal primary tumours, the remaining 15% tumours originating either in the renal pelvis or the renal capsule. Clinical signs and symptoms of renal adenocarcinoma can be classified in four groups: specifically urological signs and symptoms, unspecific general symptoms, paraneoplastic syndromes, and metastasis-derived symptoms. The classical triad consists of haematuria, pain and palpable abdominal mass; at present this triad appears in a minority of cases, and is usually a late finding. The number of cases diagnosed from unspecific signs and symptoms is increasingly larger. Routine use of ultrasound and CAT allows a higher number of diagnosis, which frequently occur in the less advanced stages. The present paper presents a case report of renal cell adenocarcinoma, diagnosed from an infrequent early symptom such as rectal bleeding.
authors.affiliation: Departamento de Cirugía, Ginecología y Obstetricia, Hospital Clínico Universitario, Zaragoza.
authors.forename: M
authors.initials: M
authors.lastname: Ramírez Fabián
authors.forename: M T
authors.initials: MT
authors.lastname: Vicente Aldea
authors.forename: C
authors.initials: C
authors.lastname: Ambroj Navarro
authors.forename: J M
authors.initials: JM
authors.lastname: Rodríguez Bazalo
authors.forename: A
authors.initials: A
authors.lastname: Ucar Terren
authors.forename: J G
authors.initials: JG
authors.lastname: Valdivia Uria
mesh_terms: D002292:Carcinoma, Renal Cell / Q000150:complications / Q000175:diagnosis*; D006470:Hemorrhage / Q000150:complications*; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D012002:Rectal Diseases / Q000150:complications*