Veysel KAPLANOĞLU, Hatice KAPLANOĞLU, İLkay AKMANGİT

Radikal Nefrektomi Sonrası Soliter Kemik Metastazı Gösteren ve Preoperatif Transkateter Embolizasyon Uygulanan Renal Hücreli Kanser: Olgu Sunumu

Renal hücreli kanser (RHK) renal parankimin en sık görülen primer malign tümörüdür. En sık akciğer, karaciğer,kemik, beyin, lenf nodları ve kontralateral böbreğe metastaz yapar. Olguların %20-35 inde kemik metastazı görü- lür. Kemik metastazları ağrı, mobilitenin azalması ve patolojik fraktürlere yol açtığı için, morbiditenin esas nedeninioluşturmaktadır. Soliter kemik metastazlarında en iyi tedavi yöntemi lezyonun cerrahi olarak çıkarılmasıdır. Trans- kateter embolizasyon tekniği intraoperatif kanamayı sınırlamak için, hem nefrektomiden önce primer tümörde, hemde metastatik kemik lezyonlarında uygulanmaktadır. Sunulan olguda RHK tanısı ile nefrektomi operasyonu yapılan,4 yıl sonra sağ humerus diafizer kesimde metastaz ortaya çıkan ve transkateter embolizasyon uygulanan olguyu lite- ratür ışığında ve radyolojik bulgular eşliğinde sunmayı amaçladık.

Renal Cell Carcinoma Is Showing Solitary Bone Metastasis After Radical Nephrectomy And Preoperative Transcatheter Embolization Is Applied: A Case Report

Renal cell carcinoma is the most common primary malignant tumor of renal parenchyma. RCC most commonly spre- ads to lung, liver, bone, brain, lymph nodes and controlateral kidney. Bone metastases are seen %20-35 of RCC ca- ses. Main reason of morbidity in RCC patients are pain, decrease of mobility and pathological fractures cause by bonemetastases. In solitary lesions best treatment is removal of lesion by surgery. Transcatheter embolisation used for li- miting intraoperatif bleeding, both on primary tumor before nephrectomy and metastatic bone lesions. In this casewe aim to present a case which underwent surgery for RCC which diagnosed with bone metastas in diafizer partof humerus 4 years later and transcatheher embolisation performed with liteature sources and radiological findings.

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