RESUMO
A 55-year-old woman presented at the Emergency Department with flank pain. She was pale, hemodynamically unstable, and had a palpable mass in her right flank. CTA of the abdomen revealed a bleeding from an angiomyolipoma of the right kidney, which was successfully treated by selective coiling of the supplying renal artery.
Assuntos
Dor Aguda/cirurgia , Angiomiolipoma/cirurgia , Dor no Flanco/cirurgia , Neoplasias Renais/cirurgia , Dor Aguda/etiologia , Angiomiolipoma/complicações , Feminino , Dor no Flanco/etiologia , Humanos , Rim/irrigação sanguínea , Rim/cirurgia , Neoplasias Renais/complicações , Pessoa de Meia-Idade , Artéria Renal/cirurgiaRESUMO
Despite changes in survival and drug tolerability, nephrotoxicity remains an important complication of chemotherapy. To provide cutting-edge care for children with cancer oncologist must be familiar with their nephrotoxic potential. Careful monitoring of renal function during treatment is therefore indicated. Well-defined guidelines for this are lacking. We reviewed current DCOG protocols and showed that monitoring of renal function during treatment varies widely between protocols. In some protocols recommended renal function measures are inappropriate given the chemotherapy prescribed. Advices on dose modifications in case of renal dysfunction also vary, even with comparable regimens. These differences are unwanted and call for standardization.