Carcinoma renal enmascarado por sepsis en una gestante adolescente / Renal Cell Carcinoma masked by sepsis in a adolescent pregnant

Authors

  • Teresita Llera Clausell Especialista de 1er Grado en Urología. Asistente. Hospital General Universitario "Abel Santamaría Cuadrado" Pinar del Río.
  • Idelma Castillo Especialista de 1er Grado en Urología. Asistente. Hospital General Universitario "Abel Santamaría Cuadrado" Pinar del Río.
  • Rosa Maria Amador González Especialista de 1er Grado en Oncología. Instructora. Hospital General Universitario "Abel Santamaría Cuadrado" Pinar del Río.
  • Annia Dolores Gorte Quiñones Especialista de 1er Grado en Anatomía Humana. Asistente. Hospital General Universitario "Abel Santamaría Cuadrado" Pinar del Río.
  • Liudmila Herrera Rodríguez Especialista de 1er grado en Medicina Interna. Instructora. Hospital General Universitario "Abel Santamaría Cuadrado" Pinar del Río.

Abstract

Joven femenina de raza negra, 18 años de edad y 12 semanas de embarazo, debuta con manifestaciones sépticas, fiebre alta, escalofríos y dolor lumbar, con diagnostico clínico e imaginológico de abceso renal derecho; es ingresada en el Servicio de Ginecología y Obstetricia del Hospital Docente "Abel Santamaría" de Pinar del Río, con tratamiento sintomático y amplia cobertura antibiótica, con evolución clínica satisfactoria, de forma contradictoria con la Imaginología y los parámetros de laboratorios. Se decide interrupción del embarazo, posteriormente se realiza nefrectomía derecha y la biopsia reportó carcinoma de células renales, clasificado Etapa Clínica Ib. La evolución post operatoria fue satisfactoria. Se inicia tratamiento con inmunoterapia: Interferón alfa 2b humano recombinante (HEBERON) por factores pronósticos desfavorables. Actualmente la paciente se mantiene asintomática.

Palabras clave: Adenocarcinoma renal, inmunoterapia.

ABSTRACT

An eighteen black female patient with 12 weeks pregnancy presenting septic symptoms: high fever, shivers, lumbar pain and with a clinical and imaging diagnosis of a right renal abscess was admitted at Gynaecological and Obstetric Service in "Abel Santamaria" University Hospital, Pinar del Rio, covering her with antibiotics and symptomatic treatment, having a satisfactory clinical progress on the contrary to Imaging and laboratory parameters. Pregnancy was interrupted and a right nephrotomy was performed; the biopsy showed a renal cell carcinoma classified in the Clinical Stage (Ib). The patient presented a satisfactory Post-operative progress. Immunotherapy started: Recombinant Human Interferon á 2b (HEBERON) due to unfavourable prognoses. Currently, the patient is asymptomatic.

Key words: Renal cell carcinoma, immunotherapy

Downloads

Download data is not yet available.

References

1-European Network of. Cáncer Registries. Eurocirn versión 4.0 European incidence database V2.3, entity dictionary (2001), Lyón, 2001.

2-Neves RJ, Zincke H, Taylor WF Neves RJ, Zincke H, Taylor WF.Sociedad Americana del Cancer: Metastatic renal cell cancer and radical nephrectomy: identification of prognostic factors and not survival. monografía en Internet. citado 9 de mayo 2008 en Internet. disponibe http://www.carcer.org

3- Pantuck AJ. Zisman A, Beildegrun AS. The changing natural history of renal cells carcinoma. J Urol 2001; 166:1611-23.

4-Giménez JM, Donate MJ, Salinas AS, Lorenzo JG, Segura M, Hernández IR, Pastor H, Martínez 13, Cafiamares L. Virseda JA. Incidencia creciente del carcinoma de células renales. Actas Urol Esp 2006; 30(3):295-300.

5- Lindbiad P. Epidemiology of renal celi carcinoma. Scand J Surg, 2004; 93:88-96.

6-Bergstrom A, Hsieh CC, Lindblad P, Lu CM, Cook NR, WoIk A. Obesity and renal celI cancer - a quantitative review. Br J Cancer, 2001:85:984-990.

7-Pischon T, Lahmann PH, Boeing H, Tjonneland A, Halkjaer J, Overvad K, et al. Body size risk of renal cell carcinoma in the European Prospective Investigation into 8-Cancer and utrition (EPIC). mt j Cancer, 2006;1 18:728-738.

8—McLaughlin JK, Lipworth L. Epidemiologic aspects of renal cell cancer. Semin Oncol, 2000;27:1 15-23.

9-Golbano J, Chicharro GJ, Otero 1, Serrano A. Epidemiología, etiología, clínica e historia natural del carcinoma de células renales. En: Oncología Urológica. 1era edición. Resel L, Moreno J. Madrid, España. Edit. Grupo Saned. 2003; 311-22.

10-Gómez García 1, Burgos Revilla FJ, Sanz Mayavo E, Conde Someso S, Quicios Dorado C, Pascual J et al. Metástasis en injerto renal de adenocarcinoma renal primario. Actas Urol Esp 2004; 28(6):45 8-6 1.

11-Kidney. In: American Joint Committee on Cancer. AJCC Cancer Staging Manual. 6th cd. New York, NY: Springer, 2002;323 -5.

12-HelTanz Amo F, Verdú Tartajo F, Bielsa Carrillo A. Estudio de extensión en el adenocarcinomna renal. En: Herranz Amo F, (editor) Tumores de riñón. Madrid, Ediciones Doyma. 2001; 123-35.

13-Janzen NK, Kim HL, Figlin RA, Beildegrun AS. Surveillance after radical or partial nephrectomy localized renal ccli carcinoma and management of recurrent disease. Urol Clin North Am. 2003 Nov; 30(4):843-52

14-Mickisch G, Carballido J, Hellsten S, Schulze H, Mensink H. Guidelines on renal cdl cancer. Update Fehruary 2002. Disponible en http://www.uroweb.org

15-Herrera Puerto J, Soler Fernández J. Asuar Aydillo S, Domínguez Bravo C, Cabezudo Alzar J. Metástasis cerebral solitaria de un carcinoma de células renales. Actas Urol Esp 2003; 27(6):468-70.

16- Albanell J, Ross J. The Epidermal growth factor receptor (EGFR) and other growth factors and receptors. En: Molecular Oncology of Breast Cancer. Jones and Bartlett Publishers. Editors Dr. G. Hortobagyi, J. Ross. 2005: 256-275.

Downloads

How to Cite

1.
Llera Clausell T, Castillo I, Amador González RM, Gorte Quiñones AD, Herrera Rodríguez L. Carcinoma renal enmascarado por sepsis en una gestante adolescente / Renal Cell Carcinoma masked by sepsis in a adolescent pregnant. Rev Ciencias Médicas [Internet]. 2012 Oct. 29 [cited 2025 Aug. 30];13(2):270-8. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/509

Issue

Vol. 13 No. 2 (2009)

Section

CASE REPORTS

License

Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.

Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/