title: Urinary extravasation from the kidney of recurrent renal cell carcinoma.
abstract: A man presented with recurrent renal cell carcinoma, complicated with acute pyelonephritis, 3 months status post partial nephrectomy. He underwent cystourethroscopy and a bilateral retrograde pyelogram, then was referred for a Tc-99m DTPA renal study; the images showed an initial photon-deficient area of the right kidney being gradually filled-in by radiotracer with further extension laterally, indicating urinary extravasation. 16 days later this area was aspirated, yielding 5 ml of yellowish fluid with clots consistent with necrotic tumor and pus.
authors.affiliation: Nuclear Medicine Service, Department of Veterans Affairs Medical Center, Lexington, KY.
authors.forename: W J
authors.initials: WJ
authors.lastname: Shih
authors.forename: C
authors.initials: C
authors.lastname: Pulmano
authors.forename: A L
authors.initials: AL
authors.lastname: Hotze
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000175:diagnosis*; D003952:Diagnostic Imaging; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000175:diagnosis*; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis*; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis*; D016284:Technetium Tc 99m Pentetate; D014057:Tomography, X-Ray Computed; D014556:Urine; D014567:Urography
chemical_list: D016284:Technetium Tc 99m Pentetate