1. Synchronous ipsilateral renal cell and transitional cell carcinoma
- Author
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Lee Cc, Huang Hw, Chong Py, Chiu Ch, Ling Cm, Chou As, and Kuo-Hsien Chiang
- Subjects
Male ,Pathology ,medicine.medical_specialty ,urologic and male genital diseases ,Lesion ,Neoplasms, Multiple Primary ,Renal cell carcinoma ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Pathological ,Carcinoma, Renal Cell ,Aged ,Kidney ,Carcinoma, Transitional Cell ,medicine.diagnostic_test ,business.industry ,Genitourinary system ,General Medicine ,medicine.disease ,female genital diseases and pregnancy complications ,Kidney Neoplasms ,Contrast medium ,Transitional cell carcinoma ,medicine.anatomical_structure ,Angiography ,medicine.symptom ,business ,Tomography, X-Ray Computed - Abstract
The coexistence of multiple and synchronous primary neoplasms in the genitourinary system has only rarely been described in the literature. We present the case of a 78-year-old man with haematuria as the initial presentation, finally proven to be transitional cell carcinoma (TCC) combined with renal cell carcinoma (RCC). Intravenous urography (IVU), CT and arterial angiography studies revealed a space-occupying nodule at the right upper renal pelvicalyces showing mild enhancement with contrast medium. Another strong contrast medium enhancing exophytic tumour was found at the lower pole of kidney; there were hypodense foci and calcified components in this lesion. A right nephroureterectomy was performed. Pathological diagnosis was a papillary TCC and a clear cell type RCC. This is a rare case of combined renal malignancies diagnosed by imaging.
- Published
- 2006