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Renal cell carcinoma of the kidney with synchronous ipsilateral transitional cell carcinoma of the renal pelvis.

Atilgan D, Uluocak N, Parlaktas BS - Case Rep Urol (2013)

Bottom Line: A 73-year-old man was admitted to our clinic with flank pain and gross macroscopic hematuria.Radiologic examination revealed a solid mass in the left kidney and additionally another mass in the ureteropelvic junction of the same kidney with severe hydronephrosis.Left nephroureterectomy with bladder cuff removel was performed, and histopathological evolution showed a Fuhrman grade 3 clear cell type RCC with low-grade TCC of the pelvis.

View Article: PubMed Central - PubMed

Affiliation: Gaziosmanpasa University Faculty of Medicine Department of Urology, 60100 Tokat, Turkey.

ABSTRACT
A 73-year-old man was admitted to our clinic with flank pain and gross macroscopic hematuria. Radiologic examination revealed a solid mass in the left kidney and additionally another mass in the ureteropelvic junction of the same kidney with severe hydronephrosis. Left nephroureterectomy with bladder cuff removel was performed, and histopathological evolution showed a Fuhrman grade 3 clear cell type RCC with low-grade TCC of the pelvis.

No MeSH data available.


Related in: MedlinePlus

Microscopic overview of the RCC (H-E, ×30).
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Related In: Results  -  Collection


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fig4: Microscopic overview of the RCC (H-E, ×30).

Mentions: A 73-year-old man who he had suffered from with left flank pain and hematuria was admitted to our clinic. Physical examination and laboratory findings were normal. Patient has a history of ischemic heart disease and 1 pack of cigarette smoking for 40 years. The USG showed grade 4 hydronephrosis and a solid mass with 5 cm diameter in the left kidney. Computed tomography revealed several hydronephrosis and a solid mass with 52 × 41 mm diameters in the middle part of the left kidney. Additionally, a 50 × 45 × 38 mm solid mass was detected at the ureteropelvic junction (UPJ) of the same kidney with normal contralateral kidney (Figures 1 and 2). There was no evidence of metastasis. Cystoscopy revealed no pathological findings, and subsequently left nephroureterectomy with lymphadenectomy was performed. Macroscopic evaluation of the specimen showed severe hydronephrotic left kidney with thin parenchyma and a solid mass with 70 × 70 × 5.5 mm diameters located in the middle part of the kidney without capsular penetration. In addition, a 60 × 50 × 40 mm diameters solid mass with papillomatous components was detected at the ureteropelvic junction (Figure 3). Microscopically, parenchymal mass was detected as a Fuhrman 3 clear cell type RCC, and papillosolid mass at the UPJ was detected as a noninvasive low-grade papillary urothelial carcinoma (Figures 4 and 5). Surgical margins were negative for both tumors. Postoperative 5th day patient was discharged without any complication, and no problems occurred during follow-up period.


Renal cell carcinoma of the kidney with synchronous ipsilateral transitional cell carcinoma of the renal pelvis.

Atilgan D, Uluocak N, Parlaktas BS - Case Rep Urol (2013)

Microscopic overview of the RCC (H-E, ×30).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3713329&req=5

fig4: Microscopic overview of the RCC (H-E, ×30).
Mentions: A 73-year-old man who he had suffered from with left flank pain and hematuria was admitted to our clinic. Physical examination and laboratory findings were normal. Patient has a history of ischemic heart disease and 1 pack of cigarette smoking for 40 years. The USG showed grade 4 hydronephrosis and a solid mass with 5 cm diameter in the left kidney. Computed tomography revealed several hydronephrosis and a solid mass with 52 × 41 mm diameters in the middle part of the left kidney. Additionally, a 50 × 45 × 38 mm solid mass was detected at the ureteropelvic junction (UPJ) of the same kidney with normal contralateral kidney (Figures 1 and 2). There was no evidence of metastasis. Cystoscopy revealed no pathological findings, and subsequently left nephroureterectomy with lymphadenectomy was performed. Macroscopic evaluation of the specimen showed severe hydronephrotic left kidney with thin parenchyma and a solid mass with 70 × 70 × 5.5 mm diameters located in the middle part of the kidney without capsular penetration. In addition, a 60 × 50 × 40 mm diameters solid mass with papillomatous components was detected at the ureteropelvic junction (Figure 3). Microscopically, parenchymal mass was detected as a Fuhrman 3 clear cell type RCC, and papillosolid mass at the UPJ was detected as a noninvasive low-grade papillary urothelial carcinoma (Figures 4 and 5). Surgical margins were negative for both tumors. Postoperative 5th day patient was discharged without any complication, and no problems occurred during follow-up period.

Bottom Line: A 73-year-old man was admitted to our clinic with flank pain and gross macroscopic hematuria.Radiologic examination revealed a solid mass in the left kidney and additionally another mass in the ureteropelvic junction of the same kidney with severe hydronephrosis.Left nephroureterectomy with bladder cuff removel was performed, and histopathological evolution showed a Fuhrman grade 3 clear cell type RCC with low-grade TCC of the pelvis.

View Article: PubMed Central - PubMed

Affiliation: Gaziosmanpasa University Faculty of Medicine Department of Urology, 60100 Tokat, Turkey.

ABSTRACT
A 73-year-old man was admitted to our clinic with flank pain and gross macroscopic hematuria. Radiologic examination revealed a solid mass in the left kidney and additionally another mass in the ureteropelvic junction of the same kidney with severe hydronephrosis. Left nephroureterectomy with bladder cuff removel was performed, and histopathological evolution showed a Fuhrman grade 3 clear cell type RCC with low-grade TCC of the pelvis.

No MeSH data available.


Related in: MedlinePlus