Beruflich Dokumente
Kultur Dokumente
Gkin Nilfer Yongu Sava ahinli , Esat Adgzel , Mehmet Blent zdemir , ahika Pnar Akyer
Abstract
A 74-year-old man admitted to hospital with abdominal pain and gastrointestinal symptoms. Physical
examination was normal except for a large, solid mass lacalized in the right upper quadrant and extending to
right lower quadrant. Computed tomography exam revealed a giant kidney tumor; filling right half of the
abdominal cavity. In this present case report, we described how the abdominal structures were affected due
to this retroperitoneal giant kidney mass.
Key words: Abdominal mass, anatomy, kidney tumor.
zet
74 yanda bir erkek, karn ars ve gastrointestinal sistem belirtileri ile hastaneye bavurdu. Fizik muayene, sa
st kadranda yerlemi ve sa alt kadrana doru uzanan byk, solid kitle dnda normaldi. Bilgisayarl
tomografide, karn boluunun sa yarsn dolduran ve abdominal dev bir bbrek tmr izlendi. Bu olgu
sunumunda, retroperitoneal dev bbrek tmrnn abdominal yaplar nasl etkilediini tanmladk.
Anahtar kelimeler: Abdominal kitle, anatomi, bbrek tmr.
Introduction
An abdominal mass is a swelling which
localized in abdomen, and usually detected
during routine physical examination. In
general, abdominal masses develop slowly.
Therefore, patients may have no symptoms
until the mass enlarges and pressurizes on
neighboring anatomical structures (1).
Depending on its size, an abdominal mass
may cause change in the shape of the
abdomen (2). Symptoms of abdominal masses
may include abdominal tenderness, pain and
functional disturbances.
The abdomen is divided into four quadrants;
right upper, right lower, left upper and left
lower. Right and left kidneys are located in the
right upper and left upper quadrants,
respectively. Therefore, an abdominal mass
may occur originating from kidney cancer (3).
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Yongu ve ark
Yonguc et al
Yongu ve ark
Yonguc et al
Discussion
Kidneys are retroperitoneally located lateral to
the vertebral coloumn. They are bean-shaped
and lie in the extraperitoneal connective
tissue of the posterior abdominal region (5).
Our case presented a giant abdominal mass,
caused by PRCC of kidney, with uncommon
clinical condition of filling the right half of the
abdominal cavity; pressurizing and dislocating
abdominal structures.
Papillary renal cell carcinoma (PRCC) is the
second most common histopathologic type of
kidney cancer, and exhibits a large range of
morphologic variants (4,6). Although, PRCC is
one of the common type of kidney cancer,
there is no any case of giant PRCC that leads
dislocation of abdominal structures in the
literature. On the other hand, Taneja and
Singh (7) report a female case of giant renal
angiomyolipoma of the left kidney displacing
the rest of the abdominal contents toward the
other side of the midline. In this
aforementioned case, mass is originited from
left kidney and filling the left abdominal
cavity, hence the abdominal content was
remowed to the right abdominal cavity.
Similarly, Akbulut et al. (8) report a female
case of giant left renal oncocytoma. However,
in these studies, dislocation of anatomical
contents are not explained.
zm nv Tp Derg 2014; 2:32-34
Izm Unv Med J 2014; 2:32-34
1.http://alexianbrothershealth.adam.com/con
tent.aspx?productId=117&pid=1&gid=003274.
Retrieved July 26, 2014.
2.http://www.healthline.com/symptom/abdo
minal-mass. Retrieved July 26, 2014.
3.https://www.inkling.com/read/huntmarshalls-clinical-problems-surgery-smith2nd/chapter-7/7-9-abdominal-mass. Retrieved
July 26, 2014.
4.Twardowski PW, Mack PC, Lara PN Jr.
Papillary renal cell carcinoma: current
progress and future directions. Clin Genitourin
Cancer 2014; 12(2):74-79.
5.Drake RL, Vogl W, Mitchell AWM. Grays
Anatomy for Students, 2nd edition. Churchill
Livingstone, Elsevier, 2009.
6.Patard JJ, Leray E, Rioux-Leclercq N, Cindolo
L, Ficarra V, Zisman A, De La Taille A, Tostain J,
Artibani W, Abbou CC, Lobel B, Guill F,
Chopin DK, Mulders PF, Wood CG, Swanson
DA, Figlin RA, Belldegrun AS, Pantuck AJ.
Prognostic value of histologic subtypes in
renal cell carcinoma: a multicenter
experience. J Clin Oncol. 2005; 23:27632771.
7.Taneja R, Singh DV. Giant Renal
Angiomyolipoma: Unusual Cause of Huge
Abdominal Mass. J Clin Imaging Sci. 2013; 3:56
8.Akbulut S, Senol A, Cakabay B, Sezgin A.
Giant renal oncocytoma: a case report and
review of the literature. J Med Case Rep.
2010; 4:52.
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