Pure sarcomatous recurrence of clear cell renal carcinoma following radical nephrectomy and dendritic cell vaccination

Authors

  • Alberto Azoubel Antunes Faculdade de Medicina da Universidade de São Paulo and Hospital Sírio-Libanês
  • Marcos Francisco Dall’Oglio Faculdade de Medicina da Universidade de São Paulo and Hospital Sírio-Libanês
  • José Alexandre Marzagão Barbuto Faculdade de Medicina da Universidade de São Paulo and Hospital Sírio-Libanês
  • Kátia Ramos Moreira Leite Faculdade de Medicina da Universidade de São Paulo and Hospital Sírio-Libanês
  • Miguel Srougi Faculdade de Medicina da Universidade de São Paulo and Hospital Sírio-Libanês

Keywords:

Renal cell carcinoma, Recurrence, Sarcoma, Nephrectomy, Dendritic cells

Abstract

CONTEXT: Sarcomatous differentiation, which represents transformation to high-grade malig- nancy, can occur in all histogical types of renal malignancy. CASE REPORT: The authors report on the case of a 66-year-old woman with a right renal mass that was shown to be a clear cell carcinoma. She un- derwent radical nephrectomy and dendritic cell vaccination and, 3.5 years later, she developed retroperitoneal pure sarcomatous recurrence of the tumor. The authors speculate that the vaccination could have played some role in this differentiation or selection of the sarcomatous component of the primary tumor.

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Author Biographies

Alberto Azoubel Antunes, Faculdade de Medicina da Universidade de São Paulo and Hospital Sírio-Libanês

MD. Division of Urology, Faculdade de Medicina da Universidade de São Paulo, and Division of Surgical Pathology, Hospital Sírio-Libanês, São Paulo, Brazil.

Marcos Francisco Dall’Oglio, Faculdade de Medicina da Universidade de São Paulo and Hospital Sírio-Libanês

MD. Division of Urology, Faculdade de Medicina da Universidade de São Paulo, and Division of Surgical Pathology, Hospital Sírio-Libanês, São Paulo, Brazil.

José Alexandre Marzagão Barbuto, Faculdade de Medicina da Universidade de São Paulo and Hospital Sírio-Libanês

MD. Division of Urology, Faculdade de Medicina da Universidade de São Paulo, and Division of Surgical Pathology, Hospital Sírio-Libanês, São Paulo, Brazil.

Kátia Ramos Moreira Leite, Faculdade de Medicina da Universidade de São Paulo and Hospital Sírio-Libanês

MD. Division of Urology, Faculdade de Medicina da Universidade de São Paulo, and Division of Surgical Pathology, Hospital Sírio-Libanês, São Paulo, Brazil.

Miguel Srougi, Faculdade de Medicina da Universidade de São Paulo and Hospital Sírio-Libanês

MD. Division of Urology, Faculdade de Medicina da Universidade de São Paulo, and Division of Surgical Pathology, Hospital Sírio-Libanês, São Paulo, Brazil.

References

Cheville JC, Lohse CM, Zincke H, et al. Sarcomatoid renal cell carcinoma: an examination of underlying histologic subtype and an analysis of associations with patient outcome. Am J Surg Pathol. 2004;28(4):435-41.

de Peralta-Venturina M, Moch H, Amin M, et al. Sarcomatoid differentiation in renal cell carcinoma: a study of 101 cases. Am J Surg Pathol. 2001;25(3):275-84.

Barbuto JA, Ensina LF, Neves AR, et al. Dendritic cell-tumor cell hybrid vaccination for metastatic cancer. Cancer Immunol Immunother. 2004;53(12):1111-8.

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Published

2006-05-05

How to Cite

1.
Antunes AA, Dall’Oglio MF, Barbuto JAM, Leite KRM, Srougi M. Pure sarcomatous recurrence of clear cell renal carcinoma following radical nephrectomy and dendritic cell vaccination. Sao Paulo Med J [Internet]. 2006 May 5 [cited 2025 Mar. 9];124(3):161-2. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2224

Issue

Section

Case Report