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Clear Cell Hidradenoma


Presentation

  • Presentation In this article we present the case of a 67-year-old patient who on April 4 th, 2013 was hospitalized in a clinical nephrology section with progressively accentuated lumbar pain, hematuria, high blood pressure and asthenia.[medichub.ro]
Intravenous Administration
  • On April 20 th, 2017, supportive treatment was initiated: erythropoietin weekly, intravenous administration, to normalize hemoglobin level, and intensive hydration to decrease creatinine levels.[medichub.ro]
Asymptomatic
  • , the diagnosis of admission being: chronic dorsolombalgia, high blood pressure grade 3, very high risk group, insulin-requiring type 2 diabetes, right nephrectomy (2013) for Gravitz tumor operated with pulmonary, right adrenal and liver metastases, asymptomatic[medichub.ro]
Anemia
  • Biological status: anemia (hemoglobin 8.8 g/dl), hypercalcemia (serum calcium 12.4 mg/dl), creatinine 2.4 mg/dl, BUN 109 mg/dl, LDH 1448 U/L, clearence to creatinine 41 ml/min.[medichub.ro]
Limb Pain
  • On April 12 - April 14, 2017, the patient was once again hospitalized on the nephrology section with low back pain and inferior limb pain, the diagnosis of admission being: chronic dorsolombalgia, high blood pressure grade 3, very high risk group, insulin-requiring[medichub.ro]
Falling
  • In March 2017, the patient suffered a left femoral fracture by falling from his own height, for which a surgical intervention was performed on March 6 th, 2017, in another clinical hospital (osteosynthesis with trans-trohantero-cervico-cephalic screws[medichub.ro]
Hypertension
  • The risk factors are: smoking, overweight, hypertension, estrogen replacement therapy, occupational exposure to chemical products, tuberous sclerosis, von Hippel Lindau syndrome.[medichub.ro]
Fracture
  • In March 2017, the patient suffered a left femoral fracture by falling from his own height, for which a surgical intervention was performed on March 6 th, 2017, in another clinical hospital (osteosynthesis with trans-trohantero-cervico-cephalic screws[medichub.ro]
Back Pain
  • On April 12 - April 14, 2017, the patient was once again hospitalized on the nephrology section with low back pain and inferior limb pain, the diagnosis of admission being: chronic dorsolombalgia, high blood pressure grade 3, very high risk group, insulin-requiring[medichub.ro]
Low Back Pain
  • On April 12 - April 14, 2017, the patient was once again hospitalized on the nephrology section with low back pain and inferior limb pain, the diagnosis of admission being: chronic dorsolombalgia, high blood pressure grade 3, very high risk group, insulin-requiring[medichub.ro]
Suggestibility
  • Bone scintigraphy performed in September 2013 did not reveal suggestive changes for secondary bone lesions.[medichub.ro]
Renal Insufficiency
  • Following investigations, there was no evidence of acute renal insufficiency and it was recommended to continue the sunitinib treatment.[medichub.ro]
Hematuria
  • The most common clinical manifestations are hematuria, hypertension, lumbar pain, asthenia or signs of distant metastases. Also, renal cancer shows resistance to the classical cytotoxic agents.[medichub.ro]
Asthenia
  • The most common clinical manifestations are hematuria, hypertension, lumbar pain, asthenia or signs of distant metastases. Also, renal cancer shows resistance to the classical cytotoxic agents.[medichub.ro]

Workup

Thrombocytosis
  • […] determined according to MSKCC criteria (Memorial Sloan Kettering Cancer Center): Time from initial diagnosis to systemic treatment Karnofsky index 80% LDH 1.5xN Hemoglobin Serum calcium 10 mg/dl The presence of neutropenia (Heng’s criteria) The presence of thrombocytosis[medichub.ro]

Treatment

  • Trestioreanu” Institute of Oncology, Bucharest, for specific treatment.[medichub.ro]

Etiology

  • Lung CT scan - January 02, 2017 In October 27 th, 2016, the patient performed an abdominal MRI, confirming liver lesion described on CT scan as having secondary etiology, and highlighted another secondary tumor in the right hepatic lobe segment, V-VI[medichub.ro]

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