title: [Effective palliative chemotherapy in a patient with collecting duct carcinoma of a unilateral kidney associated with anuria. Case report].
abstract: The case of a 54-year-old woman is presented. She underwent right sided unilateral nephrectomy for metastatic bilateral renal tumour of the Bellini collecting ducts. Progression of the contralateral tumour resulted in acute complete anuric renal failure. Haemodialysis was started along with palliative gemcitabine (1000 mg/m(2))-cisplatine (70 mg/m(2)) chemotherapy. In parallel, renal function was improving and dialysis could be stopped at the end of the chemotherapy line comprising 6 cycles. Half a year later the patient was lost of uncontrolled local and pulmonary progression. The potentially nephrotoxic cisplatine chemotherapy associated to complex supportive treatment improved the renal function by controlling diffusely infiltrative tumour growth and allowed a survival benefit over one year with active household keeping capacity.
authors.affiliation: Onkoradiológiai Osztály, Petz Aladár Megyei Oktató Kórház Győr, Vasvári Pál u. 2-4., 9024.
authors.forename: Tamás
authors.initials: T
authors.lastname: Kullmann
authors.affiliation: Onkoradiológiai Osztály, Petz Aladár Megyei Oktató Kórház Győr, Vasvári Pál u. 2-4., 9024.
authors.forename: Tamás
authors.initials: T
authors.lastname: Pintér
authors.affiliation: Urológiai Osztály, Petz Aladár Megyei Oktató Kórház Győr.
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Szepesvári
authors.affiliation: Patológiai Osztály, Petz Aladár Megyei Oktató Kórház Győr.
authors.forename: Noémi
authors.initials: N
authors.lastname: Kránitz
authors.affiliation: Service d'Oncologie Médicale, Hôpital Saint Louis Párizs.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Culine
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications* / Q000209:etiology; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001002:Anuria / Q000209:etiology*; D002292:Carcinoma, Renal Cell / Q000097:blood / Q000150:complications / Q000188:drug therapy* / Q000556:secondary; D002945:Cisplatin / Q000008:administration & dosage; D003404:Creatinine / Q000097:blood; D003841:Deoxycytidine / Q000008:administration & dosage / Q000031:analogs & derivatives; D018450:Disease Progression; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007680:Kidney Neoplasms / Q000097:blood / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D007685:Kidney Tubules, Collecting / Q000473:pathology*; D008175:Lung Neoplasms / Q000556:secondary; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009392:Nephrectomy; D010166:Palliative Care / Q000379:methods*; D006435:Renal Dialysis; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D000093542:Gemcitabine
chemical_list: D003841:Deoxycytidine; D003404:Creatinine; D002945:Cisplatin; D000093542:Gemcitabine
keywords: Bellini tumour; Bellini-tumor; anuria; cisplatin; cisplatine; renal cancer; renal failure; veseelégtelenség; veserák