Solitary Renal Metastasis of Esophageal Squamous Cell Carcinoma
| Autor: | Mariya Vladimirovna Morozova, Dmitry Vladimirovich Ruchkin, Olesya Askharovna Chekhoeva, Aleksandr Aleksandrovich Teplov, Yulia Aleksandrovna Stepanova, Aleksandr Anatolevich Gritskevich, Pavel Igorevich Davydenko, Andrey Vyacheslavovich Glotov |
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| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Journal of Experimental and Clinical Surgery. 11:247-255 |
| ISSN: | 2409-143X 2070-478X |
| DOI: | 10.18499/2070-478x-2018-11-4-247-255 |
| Popis: | Esophageal cancer is the sixth leading cause of death from cancer worldwide. Most patients with esophageal cancer die from relapses or metastases, with a 5-year survival rate ranging from 15% to 25%. The most common places of metastasis are the liver, lungs, bones and adrenal glands. Metastases in the kidney are extremely rare. We present the clinical case of a 61-year-old patient who was surgically radically treated at the A.V. Vishnevsky Surgery Center about esophageal cancer. The lesion was localized in the middle third of the esophagus along the posterior one, with spreading to the right wall, protruding into the lumen, slightly narrowing it. The situation was complicated by the fact that preoperatively the patient was diagnosed with coronary artery stenosis: the middle third of the anterior interventricular branch (AIB) of 80%, the proximal third of the envelope of the left coronary artery to 70%, the right coronary artery in the middle third to 50%. In this connection, the first stage of treatment was performed by stenting of AIB and the envelope of the left coronary artery. With the dynamic observation of the patient's condition, metastasis to the kidney was revealed in two years, and the patient was also operated on. This clinical case demonstrates the possibility of using a complex radiology (including X-ray, ultrasound, MSCT and angiography) at the stages of examination and treatment of such category of patients, allowing timely detection and correction of both the manifestations of the underlying pathology and concomitant diseases. |
| Databáze: | OpenAIRE |
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