Document Detail

Renal cell carcinoma presenting with Melena from direct invasion into the duodenum: a case report and a review of literature.
MedLine Citation:
PMID:  24620413     Owner:  NLM     Status:  In-Process    
Today the classic triad of flank pain, hematuria and a palpable abdominal mass is rarely present at initial diagnosis of renal cell carcinoma due to the growing number of cases diagnosed incidentally on imaging studies. We report a case of a 58-year-old female who presented with melena where a subsequent esophagogastroduodenoscopy demonstrated a bleeding duodenal lesion. Pathologic study of a biopsy revealed Clear Cell RCC and an ensuing abdominal CT revealed the direct duodenal invasion of a primary renal mass. We also provide a brief review of nephrectomy in the face of metastatic renal cell carcinoma.
Ryan Street; Jordan Brady; Gennady Slobodav
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Oklahoma State Medical Association     Volume:  106     ISSN:  0030-1876     ISO Abbreviation:  J Okla State Med Assoc     Publication Date:  2013 Dec 
Date Detail:
Created Date:  2014-03-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503043     Medline TA:  J Okla State Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  477-9     Citation Subset:  IM    
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