Giant right hydronephrosis with underlying double malignancy: a case report.

Autor: Michael, Shreyas Nellamkuziyil, Masood, Pirzada Faisal, Sharma, Umesh, Bhat, Fibah Irshad
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Zdroj: Pan African Medical Journal; May-Aug2023, Vol. 45, p1-7, 7p
Abstrakt: Giant hydronephrosis is mostly caused by ureteropelvic junction obstruction (UPJO). Giant hydronephrosis with concurrent malignancy is less common clinically and is easily misdiagnosed. We report a 77-year-old male who presented with sudden onset progressive abdominal distension in the last month. Abdominal computed tomography showed a right severe hydronephrotic kidney with loss of parenchymal thinning. Cystoscopy showed a 1x1cm papillary lesion protruding from the right ureteric orifice. He underwent a right radical nephroureterectomy with bladder cuff excision with lymph node dissection. Histopathology showed lowgrade urothelial carcinoma of the ureter and incidental pleomorphic rhabdomyosarcoma in the right kidney. The patient refused chemotherapy and died 6 months later due to lung metastasis. Incidental pathologic finding of renal rhabdomyosarcoma in adults with giant hydronephrosis and urothelial carcinoma is a rare occurrence with diverse clinical presentations, prognoses, and outcomes. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index