Apoplejía en metástasis hipofisiaria de carcinoma de células renales: Caso clínico con siete años de seguimiento

We report a man in whom a 15 cm. renal tumor was excised at the age of 49. The pathological examination showed a clear cell carcinoma. Five years later, he presented with headache, vomiting and unilateral palpebral ptosis. Imaging studies showed a sellar tumor with pituitary apoplexy. The tumor was...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Quevedo L,Iván, Rodríguez Portale,José A, Rosenberg G,Helmar, Mery S,Jorge
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2000
Materias:	Carcinoma, renal cell Hypophysectomy Pituitary apoplexy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000900009
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872000000900009
record_format	dspace
spelling	oai:scielo:S0034-988720000009000092005-11-15Apoplejía en metástasis hipofisiaria de carcinoma de células renales: Caso clínico con siete años de seguimientoQuevedo L,IvánRodríguez Portale,José ARosenberg G,HelmarMery S,Jorge Carcinoma, renal cell Hypophysectomy Pituitary apoplexy We report a man in whom a 15 cm. renal tumor was excised at the age of 49. The pathological examination showed a clear cell carcinoma. Five years later, he presented with headache, vomiting and unilateral palpebral ptosis. Imaging studies showed a sellar tumor with pituitary apoplexy. The tumor was excised and the pathological study disclosed a clear cell tumor, positive for vimentin, cytokeratins AE1 and AE3 and immunohistochemically negative for LH, TSH, ACTH and GH. Considering the similar histopathological features, it was considered as a metastasis of the renal tumor. The patient was supplemented with thyroid, adrenal and gonadal hormones. Seven years later, he presented a new tumor in the remaining kidney, that corresponded to a cystic papillary renal cell carcinoma. Afterwards, he presented a transitional urinary bladder tumor. Mortality associated to renal cell tumors is 90% at 5 years, and pituitary metastases are extraordinarily uncommon (Rev Méd Chile 2000; 128: 1015-8).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.9 20002000-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000900009es10.4067/S0034-98872000000900009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Carcinoma, renal cell Hypophysectomy Pituitary apoplexy
spellingShingle	Carcinoma, renal cell Hypophysectomy Pituitary apoplexy Quevedo L,Iván Rodríguez Portale,José A Rosenberg G,Helmar Mery S,Jorge Apoplejía en metástasis hipofisiaria de carcinoma de células renales: Caso clínico con siete años de seguimiento
description	We report a man in whom a 15 cm. renal tumor was excised at the age of 49. The pathological examination showed a clear cell carcinoma. Five years later, he presented with headache, vomiting and unilateral palpebral ptosis. Imaging studies showed a sellar tumor with pituitary apoplexy. The tumor was excised and the pathological study disclosed a clear cell tumor, positive for vimentin, cytokeratins AE1 and AE3 and immunohistochemically negative for LH, TSH, ACTH and GH. Considering the similar histopathological features, it was considered as a metastasis of the renal tumor. The patient was supplemented with thyroid, adrenal and gonadal hormones. Seven years later, he presented a new tumor in the remaining kidney, that corresponded to a cystic papillary renal cell carcinoma. Afterwards, he presented a transitional urinary bladder tumor. Mortality associated to renal cell tumors is 90% at 5 years, and pituitary metastases are extraordinarily uncommon (Rev Méd Chile 2000; 128: 1015-8).
author	Quevedo L,Iván Rodríguez Portale,José A Rosenberg G,Helmar Mery S,Jorge
author_facet	Quevedo L,Iván Rodríguez Portale,José A Rosenberg G,Helmar Mery S,Jorge
author_sort	Quevedo L,Iván
title	Apoplejía en metástasis hipofisiaria de carcinoma de células renales: Caso clínico con siete años de seguimiento
title_short	Apoplejía en metástasis hipofisiaria de carcinoma de células renales: Caso clínico con siete años de seguimiento
title_full	Apoplejía en metástasis hipofisiaria de carcinoma de células renales: Caso clínico con siete años de seguimiento
title_fullStr	Apoplejía en metástasis hipofisiaria de carcinoma de células renales: Caso clínico con siete años de seguimiento
title_full_unstemmed	Apoplejía en metástasis hipofisiaria de carcinoma de células renales: Caso clínico con siete años de seguimiento
title_sort	apoplejía en metástasis hipofisiaria de carcinoma de células renales: caso clínico con siete años de seguimiento
publisher	Sociedad Médica de Santiago
publishDate	2000
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000900009
work_keys_str_mv	AT quevedolivan apoplejiaenmetastasishipofisiariadecarcinomadecelulasrenalescasoclinicoconsieteanosdeseguimiento AT rodriguezportalejosea apoplejiaenmetastasishipofisiariadecarcinomadecelulasrenalescasoclinicoconsieteanosdeseguimiento AT rosenbergghelmar apoplejiaenmetastasishipofisiariadecarcinomadecelulasrenalescasoclinicoconsieteanosdeseguimiento AT merysjorge apoplejiaenmetastasishipofisiariadecarcinomadecelulasrenalescasoclinicoconsieteanosdeseguimiento
_version_	1718435936033832960

Apoplejía en metástasis hipofisiaria de carcinoma de células renales: Caso clínico con siete años de seguimiento

Ejemplares similares