Renal cancer as an incidental finding: The importance of physical examination at outpatient visit


DOI: https://dx.doi.org/10.18565/therapy.2024.2.92-99

Karpenko D.G., Fedorova E.V., Mikava K.R., Larina V.N.

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia, Moscow
Abstract. The article describes a case of detection of a clinical sign of kidney cancer during an outpatient examination of 55-year-old patient with suspected acute respiratory viral infection, which turned out to be a manifestation of synchronous kidney cancer with metastasis to the pancreas. During a physical examination in the left hypochondrium, the doctor discovered a dense formation up to 10 cm in size, painless by palpation. According to the results of computed tomography of abdominal organs and retroperitoneal space with contrast enhancement, a retroperitoneal formation on the left and a formation of the pancreas tail were identified. Subsequently, in the hospital, the patient underwent left nephradrenalectomy, right kidney resection, and pancreatic resection with splenectomy. Current observation emphasizes the importance of regular preventive examinations and medical screenings, as well as the importance of performing an objective physical examination of the patient at every visit to the doctor in order to identify signs of malignant neoplasm as early as possible.
Keywords: outpatient healthcare segment, synchronous renal cancer, cancer alertness, renal cell cancer
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About the Autors

Dmitry G. Karpenko, MD, PhD (Medicine), associate professor of the Department of polyclinic therapy of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia. Address: 117997, Moscow, 1 Ostrovityanova St.
E-mail: karpenko_dg@mail.ru
ORCID: https://orcid.org/0000-0002-1924-9514
Ekaterina V. Fedorova, MD, PhD (Medicine), assistant of the Department of polyclinic therapy of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia. Address: 117997, Moscow, 1 Ostrovityanova St.
E-mail: evfedorova91@mail.ru
ORCID: https://orcid.org/0000-0002-7623-7376
Kristina R. Mikava, MD, assistant at the Department of polyclinic therapy of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia. Address: 117997, Moscow, 1 Ostrovityanova St.
E-mail: mikavakris@gmail.com
ORCID: https://orcid.org/0000-0002-0248-3814
Vera N. Larina, MD, Dr. Sci. (Medicine), professor, head of the Department of polyclinic therapy of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia. Address: 117997, Moscow, 1 Ostrovityanova St.
E-mail: larina_vn@rsmu.ru
ORCID: https://orcid.org/0000-0001-7825-5597

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