[Nephrectomy of a giant hypernephroma (5,150 g)].
We report a giant renal adenocarcinoma (5150 g weight) excised in a 52 years old male. He presented a severe clinical symptoms: serious haematuria, fever (40 degrees C), left flank pain, abdominal discomfort and weight loss (10 kg). The patient underwent left renal artery embolization because of severe anemia (blood transfusion: 4 uu) but haematuria didn't decrease; that's why radical surgery was advised. Until our knowledge this case is the largest removed kidney adenocarcinoma published in the world literature (Medline 1966-2001).
Ballesteros Sampol
J J
JJ
Servicios de Urología y Anatomía Patológica, Hospital Ntra. Sra. de la Esperanza, Barcelona.
Lloreta Trull
J
J
D015746:Abdominal Pain / Q000209:etiology; D000740:Anemia / Q000209:etiology; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D003015:Clostridium Infections / Q000209:etiology; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D017809:Fatal Outcome; D005334:Fever / Q000209:etiology; D006417:Hematuria / Q000209:etiology / Q000628:therapy; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009392:Nephrectomy; D013369:Subphrenic Abscess / Q000209:etiology; D018746:Systemic Inflammatory Response Syndrome / Q000209:etiology; D014646:Varicocele / Q000150:complications