Title: Carcinome Papillaire Renale Et Tumeur Granulosa Ovarienne Metastase Ou Primitive A Propos D'un Cas Au Chu Hassan Ii De Fes
Authors: Fanfan Mutshe, Jayi Soufia, Y Belhaj, Fz Fdili Alaoui, C Hikmat, Melhouf Moulay Abdelillah
Volume: 8
Issue: 10
Pages: 62-65
Publication Date: 2024/10/28
Abstract:
: Summary: Papillary renal cell carcinoma accounts for 13-20% of renal carcinoma cases, affects twice as many men as women, and is predominantly found in adults. Ovarian cancer represents 5% of female cancers, with granulosa cell tumors making up 2-5% of ovarian tumors. Granulosa cell tumors come in two distinct forms: 95% adult and 5% juvenile. The co-occurrence of renal and ovarian cancer is extremely rare. The challenge is to determine whether these two tumors are primary or secondary (metastatic) to each other. Both the ovary and kidney are mixed glands with endocrine and exocrine functions. Anatomically, the ovary is an intraperitoneal organ, while the kidney is retroperitoneal. The blood supply to the ovary comes from ovarian arteries (60% from the abdominal aorta and 40% from renal arteries). The left ovarian vein drains into the left renal vein, with lymphatic drainage possible in both directions, explaining potential metastasis routes. These tumors are often discovered late as they tend to be asymptomatic and are found incidentally during imaging exams (MRI, ultrasound, etc.).