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Query: UMLS:C0027627 (metastases)
 103,950 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Estrogen-dependent renal adenocarcinoma and normal proximal tubules of the hamster kidney exhibit junctional differences. Although both cell types possess gap junctions, the neoplastic cells have in addition a cytoplasmic configuration of gap-junctional membrane (annular nexuses) not found in the kidneys of untreated or estrogenized hamsters or in the nontumorous kidney adjacent to the adenocarcinoma. The presence of these unique structures in the renal tumor and its abdominal metastases was demonstrated by electron microscopy with the use of lanthanum impregnation. A possible correlation between these structures and the estrogen sensitivity of the kidney neoplasm is made.
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PMID:Junctional specialization in estrogen-induced renal adenocarcinomas of the golden hamster. 16 65

Whole-body imaging with Ga-67 citrate in 127 tumors of the genito-urinary tract has been evaluated by a cooperative group using a uniform protocol. Primary sites of tumor were not detectable by imaging, except for one bladder and one kidney tumor. Proven and apparent metastases yielded positive scans, however, in 51% of prostatic, 50% of bladder, 72% of kidney, and 53% of testicular neoplasms. In bladder and kidneys metastases, if bone sites are excluded, detection of soft tissue metastases was 61% and 75%, respectively. In embryonal-cell carcinoma of the testicle, 74% of metastatic foci were detected.
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PMID:Ga-67 citrate imaging in tumors of the genito-urinary tract: report of cooperative study. 20 35

The anatomy of renal lymphatic vessels is described. Marked discrepancy in the results of lymphangiography carried out in 47 patients with kidney tumor and the histological examination of the lymphatic tissue removed by lymphadenectomy is discussed. However, there is a conclusive evidence of the prognostic value of lymphangiography concerning the postoperative survival of patients with kidney tumors. Due to misinterpretations of lymphangiography, the variability of the lymphatic outflow of the kidney as well as the predominant hematogenic spread of metastases of kidney tumors, lymphangiography does not appear to be a valuable diagnostic approach in renal carcinoma.
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PMID:[Lymphangiography--a guide in tumor nephrectomy?]. 65 2

Seventy-two patients with solid renal lesions were studied by renal echography and the echography and the results were correlated with angiography and pathologic examination of excised specimens. Thirty-one tumors were diagnosed by echography and were proved by angiography and pathology. Renal tumors are either more echo-producing or less echogenic than adjacent normal renal parenchyma. All angiographically hypervascular tumors and hypovascular tumors with areas of hemorrhage and necrosis are more echo-producing. Hypovascular homogenous renal carcinomas, transitional cell carcinoma invading the kidney, and metastases are less echo-producing. Pseudo-tumors have the same echo characteristics as surrounding and adjacent normal renal parenchyma.
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PMID:Ultrasonic characterization of solid renal lesions: echographic, angiographic and pathologic correlation. 86 42

Recent literature suggests that pulmonary embolus secondary to renal cell carcinoma may by more common than previously suspected. Renal tumors are known for their ability to metastasize early, often before the primary lesion is apparent. A patient with renal cell carcinoma and having massive pulmonary tumor embolus is presented. Attention was called to the occult tumor by the identification of clear cell carcinoma in the pulmonary embolic material. Pulmonary embolectomy and surgical extirpation of the primary tumor resulted in long-term survival.
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PMID:Pulmonary embolus presenting as the initial manifestation of renal cell carcinoma. 87

The cellular origin of estrogen-induced kidney tumors in male Syrian hamsters has been repeatedly the subject of controversy. Several authors have proposed that the tumors arise from proximal tubules, from a combination of tubular and interstitial stromal cells, or solely from interstitial cells. Because of the model character of this tumor for hormone-associated cancer, it was further investigated in this study with respect to morphology, enzyme and intermediate filament pattern, the expression of alpha-smooth muscle actin and the extracellular matrix proteins fibronectin and tenascin. These analyses were carried out with early and late tumors as well as metastases to determine possible changes in expression of biochemical parameters during the development and progression of this neoplasm. The enzyme histochemical and intermediate filament patterns were usually the same as those described previously for proliferative foci and early tumors, i.e. highly elevated activities of glucose-6-phosphate dehydrogenase, adenylate cyclase and alkaline phosphatase, a lack of glucose-6-phosphatase and gamma-glutamyltransferase and coexpression of vimentin and desmin, alpha-smooth muscle actin could not be detected in early lesions. In five of 24 advanced tumors inclusions of kidney tubules were found which showed various degrees of alteration in their morphology and enzyme histochemical pattern, but were often directly connected with tubular segments of normal appearance outside the tumor. Like the normal tubules, the enclosed tubular segments were strongly positive for cytokeratin but never expressed vimentin or desmin. Among the 24 tumors studied, two contained cysts which expressed cytokeratin and sometimes also vimentin but not desmin. The enzyme histochemistry of the cells lining the cysts was similar to that of the surrounding tumor mass, except adenylate cyclase was lacking and alkaline phosphatase was not uniformly distributed. In tumors containing cytokeratin-positive cysts, there often were cytokeratin-positive, vimentin-negative and desmin-negative tumor formations in close contact to these cysts. With the exception of cyst formation, the pattern of metastases were identical to that of the primary tumors. All large tumors and the main component of the metastases expressed vimentin, desmin and fibronectin. Mesothelia surrounding metastatic tumor complexes were positive for vimentin, desmin, alpha-smooth muscle actin, fibronectin, cytokeratin and tenascin. It was concluded from these and previous observations on early stages of tumor development that the estrogen-induced hamster kidney tumor originates from mesenchymal interstitial cells (probably pericytes) which may rarely acquire an epithelial phenotype by metaplastic transformation during tumor progression.
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PMID:Changes in the cellular phenotype and extracellular matrix during progression of estrogen-induced mesenchymal kidney tumors in Syrian hamsters. 171 81

The surgical technique, course and complications were analysed in 123 patients in whom a kidney tumor had been enucleated. Fifty-seven enucleated tumors were available for image analysis DNA-cytometry. In 49 patients there was an imperative indication for an organ-preserving operation, because nephrectomy would have made dialysis obligatory. In 74 patients with a healthy contralateral kidney the tumor was enucleated by choice. Thirty-five of 49 patients with an imperative indication are without sign of tumor progression after a mean follow-up of 4.5 years. In two patients there was a recurrence after 4 and 5 years, respectively, requiring a second organ-preserving operation. In one further patient there is a suspicion of multiple small tumor lesions 2 years after the first operation. Known metastases were present in 3 of 6 patients who died of their tumors. Sixty-eight of 74 patients operated on electively are without signs of tumor progression after a mean follow-up period of 3.3 years. One patient died from tumor metastases. Two patients had tumor recurrence, requiring nephrectomy and enucleation, respectively.
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PMID:Long-term experience with conservative surgery of renal tumors. Surgical technique, complications, results, DNA-cytometry. 178 6

We report a case of renal cell carcinoma (RCC) metastatic to the tongue in a 58-year-old female. The patient had undergone radical nephrectomy for renal cell carcinoma 5 years previously, and experienced multiple metastatic disease in lung, bone, and contralateral kidney, before she noticed yellowish tumor on the left border of the tongue. Microscopic appearances of the biopsied lingual tumor were almost identical to those of the primary kidney tumor, thus the diagnosis of lingual metastasis from renal cell carcinoma was established. This case represents the tenth case of RCC metastatic to the tongue.
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PMID:Renal cell carcinoma metastatic to the tongue: a case report. 206 7

Data from 120 patients diagnosed as having renal cell carcinoma (RCC), and treated in an organ-preserving surgical manner were analyzed from 11 participating Austrian urological centers. The male to female ratio was 66:54. The subjects age ranged from 27 to 75 years with mean age of 59 years. The indication for conservative tissue-saving surgery was a solitary kidney in 48 instances, a bilateral RCC in 18 cases and, in 2 patients, a horseshoe kidney tumor. In 52 cases the indication for conservative surgery was a peripheral, easily resectable, low-stage tumor (elective indication). Results were comparable to radical nephrectomy of low-stage tumors especially relating to survival rates. Ninety-nine patients survived and were tumor free at the point of check up (December 1988). Thirteen patients had either local tumor recurrence and/or metastases and 5 patients died from the disease. The operative mortality and the morbidity rate was very low.
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PMID:Results after organ-preserving surgery for renal cell carcinoma. An Austrian multicenter study. 222 89

The potentialities of NMR-tomography in renal cancer patients with symptomatic hypertension were assessed. Altogether 15 patients (9 men and 6 women) aged 24 to 74 were investigated; previously examined 25 persons were entered into the control group. A NMR-tomograph with the magnitude of the magnetic field of 0.235 T using the "spin-echo" method. The results of the investigation were compared with those of the control group and with the results of x-ray computerized tomography, abdominal aortography, dynamic scintigraphy of the kidneys, and ultrasound investigation. NMR-tomography was shown to possess high resolution permitting visualization of a kidney tumor irrespective of its site and its size exceeding 2-3 cm. It also permits obtaining additional data on the state of the kidney parenchyma, cortical and medullary substance, determining the level of ureteral obstruction, and detecting the presence of vertebral metastases.
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PMID:[Magnetic resonance tomography in kidney tumors concomitant with symptomatic hypertension]. 276 69


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