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Original Research

The approach of emergency physicians to patients with acute renal colic


1 Prof. Dr. Cemil Taşcıoğlu City Hospital, Department of Emergency Medicine, İstanbul, Turkey
2 Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, İstanbul, Turkey
3 Ümraniye Training and Research Hospital, Department of Emergency Medicine, Istanbul, Turkey


DOI : 10.33719/yud.2022;17-1-1016256
New J Urol. 2022;17(1):44-51

Abstract

Objective: Metastatic tumors of the kidney are quite rare. In this study, we aimed to increase
awareness by discussing the clinicopathological data of our cases in the context of the literature.

Material and Methods: A total of 760 cases, subjected to trucut biopsy or resection, were examined.
The primary diagnoses, clinical, and histopathological features of the cases were investigated.

Results: The study included 60 trucut and 700 partial/radical nephrectomy cases, with metastasis
to the kidney detected in 24 cases. The most common primary organ was the lung, with less
frequent cases from lymph nodes, skin, breast, nasal sinus, gall bladder, pleura, prostate, colon,
esophagus, stomach, and ovary. Most tumors were of epithelial origin. The majority of the cases
were solitary and endophytic in appearance. Kidney metastasis occurred at a median of 36 (2-123)
months after the primary diagnosis. The median survival time after kidney metastasis was 8 (1-90)
months.

Conclusion: In this study, detailed demographic and pathological data of cases metastasizing to
the kidney were documented. Although the rate of metastatic tumors in the kidney is low, even in
solitary and endophytic appearances, the possibility of metastasis should be considered, especially
in elderly patients, and confirmed with histopathological findings.

Keywords: metastasis, kidney, prognosis, lung, solitary, nephrectomy


Abstract

Objective: Metastatic tumors of the kidney are quite rare. In this study, we aimed to increase
awareness by discussing the clinicopathological data of our cases in the context of the literature.

Material and Methods: A total of 760 cases, subjected to trucut biopsy or resection, were examined.
The primary diagnoses, clinical, and histopathological features of the cases were investigated.

Results: The study included 60 trucut and 700 partial/radical nephrectomy cases, with metastasis
to the kidney detected in 24 cases. The most common primary organ was the lung, with less
frequent cases from lymph nodes, skin, breast, nasal sinus, gall bladder, pleura, prostate, colon,
esophagus, stomach, and ovary. Most tumors were of epithelial origin. The majority of the cases
were solitary and endophytic in appearance. Kidney metastasis occurred at a median of 36 (2-123)
months after the primary diagnosis. The median survival time after kidney metastasis was 8 (1-90)
months.

Conclusion: In this study, detailed demographic and pathological data of cases metastasizing to
the kidney were documented. Although the rate of metastatic tumors in the kidney is low, even in
solitary and endophytic appearances, the possibility of metastasis should be considered, especially
in elderly patients, and confirmed with histopathological findings.

Keywords: metastasis, kidney, prognosis, lung, solitary, nephrectomy

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