Renal cell carcinoma and malignant peritoneal mesothelioma after occupational asbestos exposure: case report

Stefano Massimo Candura, Riccardo Boeri, Cristina Teragni, Yao Hui Chen, Fabrizio Scafa

Research output: Contribution to journalArticle

Abstract

UNLABELLED: Asbestos is the main causal factor for malignant mesothelioma (MM), a relatively rare and aggressive malignancy. Some epidemiological evidence suggests a role of this agent also in the etiology of renal cell carcinoma (RCC), the most common form of kidney cancer.

CASE REPORT: After 7 years of asbestos exposure, a 76-year-old asbestos-cement worker came to our notice with left flank pain. Diagnostic imaging disclosed a neoplasm in the upper two thirds of the left kidney, without evidence of metastases. After surgery (nephrectomy with para-aortic lymphadenectomy), histopathology revealed clear cell RCC. One year later, the patient was hospitalized for abdominal pain. Laparoscopy showed diffuse neoplastic infiltration of the peritoneum and liver. Histological and immunohistochemical examination of the bioptic samples led to the diagnosis of biphasic MM. The subject died 2 months later. Autopsy disclosed ascites and diffuse infiltration of the abdominal wall and viscera, without evidence of RCC relapse.

CONCLUSIONS: This is the second reported case of association between RCC and peritoneal MM in the scientific literature. Asbestos might be involved in the causation of both malignancies.

Original languageEnglish
Pages (from-to)172-7
Number of pages6
JournalMedicina del Lavoro
Volume107
Issue number3
Publication statusPublished - May 26 2016

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Asbestos
Occupational Exposure
Renal Cell Carcinoma
Literature
Flank Pain
Neoplasms
Viscera
Kidney Neoplasms
Peritoneum
Abdominal Wall
Diagnostic Imaging
Lymph Node Excision
Nephrectomy
Ascites
Causality
Laparoscopy
Abdominal Pain
Autopsy
Neoplasm Metastasis
Kidney

Keywords

  • Journal Article

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Renal cell carcinoma and malignant peritoneal mesothelioma after occupational asbestos exposure : case report. / Candura, Stefano Massimo; Boeri, Riccardo; Teragni, Cristina; Chen, Yao Hui; Scafa, Fabrizio.

In: Medicina del Lavoro, Vol. 107, No. 3, 26.05.2016, p. 172-7.

Research output: Contribution to journalArticle

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AU - Candura, Stefano Massimo

AU - Boeri, Riccardo

AU - Teragni, Cristina

AU - Chen, Yao Hui

AU - Scafa, Fabrizio

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Y1 - 2016/5/26

N2 - UNLABELLED: Asbestos is the main causal factor for malignant mesothelioma (MM), a relatively rare and aggressive malignancy. Some epidemiological evidence suggests a role of this agent also in the etiology of renal cell carcinoma (RCC), the most common form of kidney cancer.CASE REPORT: After 7 years of asbestos exposure, a 76-year-old asbestos-cement worker came to our notice with left flank pain. Diagnostic imaging disclosed a neoplasm in the upper two thirds of the left kidney, without evidence of metastases. After surgery (nephrectomy with para-aortic lymphadenectomy), histopathology revealed clear cell RCC. One year later, the patient was hospitalized for abdominal pain. Laparoscopy showed diffuse neoplastic infiltration of the peritoneum and liver. Histological and immunohistochemical examination of the bioptic samples led to the diagnosis of biphasic MM. The subject died 2 months later. Autopsy disclosed ascites and diffuse infiltration of the abdominal wall and viscera, without evidence of RCC relapse.CONCLUSIONS: This is the second reported case of association between RCC and peritoneal MM in the scientific literature. Asbestos might be involved in the causation of both malignancies.

AB - UNLABELLED: Asbestos is the main causal factor for malignant mesothelioma (MM), a relatively rare and aggressive malignancy. Some epidemiological evidence suggests a role of this agent also in the etiology of renal cell carcinoma (RCC), the most common form of kidney cancer.CASE REPORT: After 7 years of asbestos exposure, a 76-year-old asbestos-cement worker came to our notice with left flank pain. Diagnostic imaging disclosed a neoplasm in the upper two thirds of the left kidney, without evidence of metastases. After surgery (nephrectomy with para-aortic lymphadenectomy), histopathology revealed clear cell RCC. One year later, the patient was hospitalized for abdominal pain. Laparoscopy showed diffuse neoplastic infiltration of the peritoneum and liver. Histological and immunohistochemical examination of the bioptic samples led to the diagnosis of biphasic MM. The subject died 2 months later. Autopsy disclosed ascites and diffuse infiltration of the abdominal wall and viscera, without evidence of RCC relapse.CONCLUSIONS: This is the second reported case of association between RCC and peritoneal MM in the scientific literature. Asbestos might be involved in the causation of both malignancies.

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