Hematuria como Debut de Hipernefroma

Abstract

The Hypernephroma also called renal tubular cell carcinoma, tumor Internist, gray tumor cells, renal cell carcinoma, clear cell tumor or tumor Grawitz, is the most common adult renal tumor. It represents 2.3% of all malignant tumors and is more common in men than in women 3: 1 and between 50 and 70 years. (17). There are symptoms for neoplastic within which we name: fever, weight loss, anemia. (18) (19) (20) As for what the risk factors for both development refers has been linked with diets high in fat and cholesterol, as well as environmental carcinogens and snuff without the availability of clear evidence of the existence of an etiologic factor clearly demonstrated. They described genetic alterations 97% of patients showed allelic loss suppressor gene family and the Von Hippel-Lindau disease that is given by: renal carcinoma, retinal hemangioma, hemangioblastomas spinal cord and cerebellum, and pheochromocytomas.

The treatment of kidney cancer can divide it into surgical and conservative: Nephrectomy is used in the tumor located having two partial nephrectomy and radical nephrectomy pathways which in turn can be performed by laparoscopic or open surgery. Conservative treatment and surveillance masses reserves that are less than 4cm, as they usually have a relatively low mortality using cytokines and cytoreductive nephrectomy prior systemic therapy has been shown to provide a survival benefit in patients with good prognosis. With regard to targeted therapies cytoreductive nephrectomy is no evidence retrospective can be beneficial in patients with intermediate or risk for patients with symptomatic primary lesion, although prospective trials are ongoing. Hematuria affects about 16% of the adult population and this may serve as a marker of infection, cancer and others. (1). The origin of it can be: kidneys, ureters, bladder, prostate and ureters, must be distinguished from bleeding of these places and relate with urination, which we call urethral bleeding, and whose origin would be located somewhere below the external sphincter the urethra (2), including the risk factors of microscopic hematuria most cases is benign (1) it is why we must take into account the characteristics of the same in the study of this as a symptom of Hypernephroma with two other features are: abdominal mass and flank pain which make up the triad of this disease.