Nepal Medical College journal : NMCJ · 2011
Primary mucinous adenocarcinoma of the renal pelvis and ureter.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Sidharth, Maskey P, Chalise P R, Shrestha A, Sharma U K, Gyawali P R, Shrestha G K, Joshi B R
Аннотация
Mucinous adenocarcinomas of the renal pelvis and ureter are among the rarest upper urinary tract neoplasm. We report a case of multifocal primary mucinous adenocarcinoma of the renal pelvis and ureter occurring in association with a staghorn calculus and pyonephrosis. A 68 year old man had suffered from right flank pain and upper abdominal swelling for one year. After a series of investigation, a right staghorn stone with pyonephrosis leading to non-functioning kidney was found. Right nephrectomy was performed. The pathological report showed mucinous adenocarcinoma with ureteric margin positive for tumour deposits. Patient was reoperated; right ureterectomy with removal of bladder cuff was done. Although uncommon, the possibility of a tumor should be kept in mind especially in patients with a long standing urolithiasis accompanied by hydronephrosis and/or infection.