Advanced Renal Pelvic Carcinoma Revealed after Treatment of a Staghorn Calculus by Endoscopic Combined Intrarenal Surgery

Autor:	Noriaki Ono, Motoo Araki, Ichiro Tsuboi, Nobuyoshi Ando, Yasuhiro Nishiyama, Yuki Maruyama, Ryoji Arata
Rok vydání:	2020
Předmět:	Staghorn calculus medicine.medical_specialty medicine.diagnostic_test Flank pain business.industry 030232 urology & nephrology Case Report Renal Pelvis Carcinoma Computed tomography General Medicine Diseases of the genitourinary system. Urology Surgery Lesion stomatognathic diseases 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Biopsy medicine RC870-923 medicine.symptom business Renal pelvic carcinoma After treatment
Zdroj:	Case Reports in Urology, Vol 2020 (2020) Case Reports in Urology
ISSN:	2090-6978 2090-696X
DOI:	10.1155/2020/9703479
Popis:	Renal pelvis carcinoma associated with staghorn calculus is a clinically rare condition. A 66-year-old man presented with flank pain due to an 8 cm complete staghorn calculus. We performed three lithotomies using endoscopic combined intrarenal surgery and carried out intraoperative biopsy. Histopathological examinations revealed a keratinized lesion. One month later, contrast-enhanced computed tomography showed an advanced renal pelvis carcinoma. These findings demonstrate that even an intraoperative biopsy may be insufficient to diagnose a renal pelvis carcinoma associated with a staghorn calculus. The possibility of RPCa developing when treating a long-standing staghorn calculus should therefore be kept in mind.
Databáze:	OpenAIRE
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