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Spontaneously Ruptured Renal Cell Carcinoma During Hemodialysis in Two Patients with End-Stage Renal Disease

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±è¿õºó ( Kim Woong-Bin ) 
Soonchunhyang University College of Medicine Department of Urology

ÀÌÀÇ»ó ( Lee Eui-Sang ) 
Soonchunhyang University College of Medicine Department of Urology
µÎ½Âȯ ( Doo Seung-Whan ) 
Soonchunhyang University College of Medicine Department of Urology
¾ç¿øÀç ( Yang Won-Jae ) 
Soonchunhyang University College of Medicine Department of Urology
¼ÛÀ±¼· ( Song Yun-Seob ) 
Soonchunhyang University College of Medicine Department of Urology
³ëÇöÁø ( Noh Hyun-Jin ) 
Soonchunhyang University College of Medicine Department of Nephrology

Abstract


Spontaneously ruptured renal cell carcinoma (RCC) in end-stage kidney disease is very rare. Preoperative diagnosis is difficult because of the relatively small tumor size, associated hematoma, and surrounding acquired cysts. Two middle-aged men who were maintained on hemodialysis (HD) for over 10 years suddenly developed flank pain during HD. Computed tomography scans revealed an enhancing ruptured renal mass in one patient, and no obvious tumor lesion except for a hematoma in the other, both of which were later confirmed as RCCs by pathologic specimens.

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Renal cell carcinoma; Rupture; Spontaneous

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