Open AccessRenal cell carcinoma-associated adult dermatomyositis treated laparoscopic nephrectomy
Author(s) -
Elizabeth G Nevins,
Ahmed S Zayat,
Anthony J. Browning,
Chandra Shekhar Biyani,
Stephen Jarrett
Publication year - 2013
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.120302
Subject(s) - medicine , dermatomyositis , nephrectomy , rash , renal cell carcinoma , abdomen , biopsy , rheumatoid arthritis , radiology , surgery , kidney
A 77-year-old female, who suffered from rheumatoid arthritis and hypothyroidism, developed severe muscle weakness. Clinical features, blood results and muscle biopsy suggested a possible diagnosis of dermatomyositis. A computed tomography of the chest, abdomen and pelvis showed a solid mass in the left kidney. She underwent a left laparoscopic nephrectomy and histology confirmed conventional (clear cell) renal cell carcinoma. She recovered slowly and almost back to normal life after 6 months. Early appreciation of the typical skin rash may provide a clue to the diagnosis and screening for neoplasm may improve prognosis.