ABSTRACT
Presentation of a solitary cerebellar mass lead us to think about the presence of a primary tumour or the possibility of a pulmonary, mammary or digestive metastasis. However, once discarded these origins, is necessary to search the primary neoplasms in less frequent organs. Approximately, 5% of all intracranial metastasis have it's origin in a renal cancer. These lesions generally appear at the supratentorial area and within a generalized disease. In the other hand, the presentation of a solitary cerebellar metastasis from a renal carcinoma without affectation of other organs is a very unusual fact. We present a case of these characteristics discussing about diagnostic, therapeutic and prognostic aspects of this unpredictable tumor.
Subject(s)
Cerebellar Neoplasms/diagnosis , Cerebellar Neoplasms/secondary , Neoplasms, Unknown Primary/diagnosis , Adenocarcinoma, Clear Cell/diagnosis , Adenocarcinoma, Clear Cell/pathology , Adenocarcinoma, Clear Cell/surgery , Adenoma/diagnosis , Bone Neoplasms/secondary , Cerebellar Neoplasms/pathology , Cerebellar Neoplasms/surgery , Cerebellum/diagnostic imaging , Cerebellum/pathology , Cerebellum/surgery , Combined Modality Therapy , Diagnosis, Differential , Fatal Outcome , Female , Humans , Kidney Neoplasms/diagnosis , Kidney Neoplasms/pathology , Kidney Neoplasms/surgery , Lung Neoplasms/secondary , Middle Aged , Neoplasms, Multiple Primary/diagnosis , Neoplasms, Multiple Primary/pathology , Neoplasms, Multiple Primary/surgery , Neoplasms, Unknown Primary/pathology , Neoplasms, Unknown Primary/surgery , Thyroid Neoplasms/diagnosis , Tomography, X-Ray ComputedSubject(s)
Neoplasms, Germ Cell and Embryonal/genetics , Testicular Neoplasms/genetics , Adult , Humans , MaleABSTRACT
We review the current problem of vesico-ureteral reflux, commenting upon the etiological factors and the physiopathology of the same. We describe the exploratory methods (analysis, urography, cystourethrography, cystoscopy) and assess the data obtained in order to establish the indication of medical or surgical treatment.