Clinical Course of a Case with Sarcomatoid Renal Cell Carcinoma
Özkan Onuk
Department of Urology, GOP Taksim Teaching Hospital, Istanbul, Turkey.
Burak Arslan *
Department of Urology, GOP Taksim Teaching Hospital, Istanbul, Turkey.
Aydın İsmet Hazar
Department of Urology, GOP Taksim Teaching Hospital, Istanbul, Turkey.
Arif Özkan
Department of Urology, GOP Taksim Teaching Hospital, Istanbul, Turkey.
Nusret Can Çilesiz
Department of Urology, GOP Taksim Teaching Hospital, Istanbul, Turkey.
Barış Nuhoğlu
Department of Urology, GOP Taksim Teaching Hospital, Istanbul, Turkey.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Renal cell carcinoma (RCC) is the most frequently observed malign neoplasm of the kidney. Its sarcomatoid variant (SRCC) is rare but aggressive. Our aim is to present the clinical course of a 51 year-old patient with SRCC, in the light of the literature.
Methods: A patient applied to our clinic reporting weight loss, fatigue, flank pain, and abdominal mass. Magnetic resonance imaging revealed a hypointense mass that has a heterogenic T2-weighted outlook with a size of 95x110x147 millimeters. Patient underwent left radical nephrectomy, as well as colon resection and ileostomy due to invasion.
Results: Pathological diagnosis was reported as colon-invasive SRCC with a tumor sized 20x10x7.5 centimeters.
Conclusion: First resection has a key role because complete resections are the biggest chance of most patients for long-term survival.
Keywords: Renal cell carcinoma, nephrectomy, metastasectomy, sarcoma