title: [Locally advanced renal cancer].
abstract: OBJECTIVE
  To report the case of a patient with the diagnosis of locally advanced renal carcinoma.
  
  
  METHODS
  We present in the case in a clear and well illustrated way (pictures). We report the case of a female patient with a very big renal carcinoma, with local extension, who underwent nephrectomy through a lumbar approach and received chemotherapy and immunotherapy.
  
  
  RESULTS
  Despite radical surgery, chemotherapy and immunotherapy the tumor had rapid evolution locally and systemically, as a demonstration of its high aggressiveness.
  
  
  CONCLUSIONS
  Renal carcinoma is considered the tumor with a high tendency to have metastases. The prognosis depends on size, stage and grade, determining factors for patient survival. Although there are new therapeutic options (immunologic), surgery continues being the main therapeutic tool. Continuous regular follow-up enable us detection and timely treatment of any event (local or systemic recurrence).
authors: Secci6n UrooOncológica,. Hospital Vladimir Ilich Lenin, Holguín, Cuba. revimcaribe@enet.cu
authors: René
authors: R
authors: Salas Cabrera
authors: Jorge
authors: J
authors: Sagué Larrea
authors: Ariel
authors: A
authors: Laurencio Mena
mesh_terms: D000328:Adult; D002277:Carcinoma / Q000473:pathology* / Q000628:therapy; D018450:Disease Progression; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000628:therapy