Renal cell carcinoma mimicking transitional cell carcinoma: A case report

Wiwan Irama, Jin Kiat Teo, Kang Min Wong

研究成果: 雜誌貢獻文章同行評審

摘要

Objective: Unusual clinical course Background: Preoperative differentiation between renal cell carcinoma (RCC) and transitional cell carcinoma (TCC) is of ut-most important for determining surgical strategy, whether nephrectomy or nephro-ureterectomy, as well as the necessity for wider lymphadenectomy and subsequent intensive surveillance, as the latter is more prone to recurrence. Case Report: A 76-year-old Chinese woman presented with flank pain and gross hematuria, and was found to have right-sided hydronephrosis. An obstructing tumor in the renal pelvis was shown on a computed tomography (CT) intravenous pyelogram. Although its enhancement pattern was suggestive of RCC, the location within the collecting system without any attachment to the renal parenchyma is very unusual. The mass was diagnosed his-topathologically as RCC on both ureteroscopic biopsy and subsequent radical nephrectomy. Conclusions: We present a rare case of RCC growing exclusively in the renal pelvis, mimicking a TCC. Hypotheses regarding this unusual presentation include direct invasion, continuous implantation, and intraluminal transit down the collecting system. The characteristics on imaging studies, including greater enhancement and higher tumor-to-kidney attenuation ratio, may provide a clue for diagnosis, but ureteroscopy and histopathology are the cri-terion standards and should be considered as part of routine preoperative assessment. Amidst controversies and inconsistencies, more and more emerging evidence suggests that RCC with urinary collecting system invasion is associated with less favorable overall and recurrence-free survival, especially in localized diseases.

原文英語
文章編號e932098
期刊American Journal of Case Reports
22
發行號1
DOIs
出版狀態已發佈 - 2021

ASJC Scopus subject areas

  • 醫藥 (全部)

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