Ipsilateral synchronous renal cell carcinoma and transitional cell carcinoma.
The simultaneous occurrence of renal cell carcinoma(RCC) and transitional cell carcinoma(TCC) in the same kidney is unusual. We report a 53-year-old man with ipsilateral synchronous renal adenocarcinoma and renal pelvic transitional cell carcinoma with severe hypercalcemia and a huge staghorn calculus in the opposite kidney. The patient was admitted to the hospital because of left flank pain and intermittent fever which he had had for 2 months. Computerized tomography revealed a huge stone in the right kidney and a mass in the upper pole with an irregular calcified pelvis in the left enlarged kidney. Left radical nephrectomy was done. A section of the specimen revealed a renal cell carcinoma located at the upper pole and a papillary transitional cell carcinoma arising from the renal pelvis. This is a rare case of combined renal malignancies.
Lee
J W
JW
Department of Internal Medicine, Inha University Hospital, Sungnam City, Korea.
Kim
M J
MJ
Song
J H
JH
Kim
J H
JH
Kim
J M
JM
D002292:Carcinoma, Renal Cell / Q000473:pathology / Q000601:surgery; D002295:Carcinoma, Transitional Cell / Q000473:pathology / Q000601:surgery; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D007669:Kidney Calculi / Q000150:complications / Q000601:surgery; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery; D007682:Kidney Pelvis; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000473:pathology / Q000601:surgery; D009392:Nephrectomy