Urinary extravasation from the kidney of recurrent renal cell carcinoma.
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.
Shih
W J
WJ
Nuclear Medicine Service, Department of Veterans Affairs Medical Center, Lexington, KY.
Pulmano
C
C
Hotze
A L
AL
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
D016284:Technetium Tc 99m Pentetate