Renal cancer as an incidental finding: the importance of physical examination at outpatient visit
- Authors: Karpenko D.G.1, Fedorova E.V.1, Mikava K.R.1, Larina V.N.1
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Affiliations:
- N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
- Issue: Vol 10, No 2 (2024)
- Pages: 92-99
- Section: CLINICAL CASE
- URL: https://journal-vniispk.ru/2412-4036/article/view/274520
- DOI: https://doi.org/10.18565/therapy.2024.2.92-99
- ID: 274520
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Abstract
The article describes a case of detection of a clinical sign of kidney cancer during an outpatient examination of 55-year-old patient with suspected acute respiratory viral infection, which turned out to be a manifestation of synchronous kidney cancer with metastasis to the pancreas. During a physical examination in the left hypochondrium, the doctor discovered a dense formation up to 10 cm in size, painless by palpation. According to the results of computed tomography of abdominal organs and retroperitoneal space with contrast enhancement, a retroperitoneal formation on the left and a formation of the pancreas tail were identified. Subsequently, in the hospital, the patient underwent left nephradrenalectomy, right kidney resection, and pancreatic resection with splenectomy. Current observation emphasizes the importance of regular preventive examinations and medical screenings, as well as the importance of performing an objective physical examination of the patient at every visit to the doctor in order to identify signs of malignant neoplasm as early as possible.
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##article.viewOnOriginalSite##About the authors
Dmitry G. Karpenko
N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
Author for correspondence.
Email: karpenko_dg@mail.ru
ORCID iD: 0000-0002-1924-9514
MD, PhD (Medicine), associate professor of the Department of polyclinic therapy of the Faculty of general medicine
Russian Federation, 117997, Moscow, 1 Ostrovityanova St.Ekaterina V. Fedorova
N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
Email: evfedorova91@mail.ru
ORCID iD: 0000-0002-7623-7376
MD, PhD (Medicine), assistant of the Department of polyclinic therapy of the Faculty of general medicine
Russian Federation, 117997, Moscow, 1 Ostrovityanova St.Kristina R. Mikava
N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
Email: mikavakris@gmail.com
ORCID iD: 0000-0002-0248-3814
MD, assistant at the Department of polyclinic therapy of the Faculty of general medicine
Russian Federation, 117997, Moscow, 1 Ostrovityanova St.Vera N. Larina
N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
Email: larina_vn@rsmu.ru
ORCID iD: 0000-0001-7825-5597
MD, Dr. Sci. (Medicine), professor, head of the Department of polyclinic therapy of the Faculty of general medicine
Russian Federation, 117997, Moscow, 1 Ostrovityanova St.References
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