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]
On April 20 th, 2017, supportive treatment was initiated: erythropoietin weekly, intravenousadministration, to normalize hemoglobin level, and intensive hydration to decrease creatinine levels.[medichub.ro]
, 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]
On April 12 - April 14, 2017, the patient was once again hospitalized on the nephrology section with low back pain and inferior limbpain, the diagnosis of admission being: chronic dorsolombalgia, high blood pressure grade 3, very high risk group, insulin-requiring[medichub.ro]
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]
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]
On April 12 - April 14, 2017, the patient was once again hospitalized on the nephrology section with low backpain and inferior limb pain, the diagnosis of admission being: chronic dorsolombalgia, high blood pressure grade 3, very high risk group, insulin-requiring[medichub.ro]
On April 12 - April 14, 2017, the patient was once again hospitalized on the nephrology section with lowbackpain and inferior limb pain, the diagnosis of admission being: chronic dorsolombalgia, high blood pressure grade 3, very high risk group, insulin-requiring[medichub.ro]
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]
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]
[…] 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]
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]