Pyelic metastasis from a renal cell carcinoma following partial nephrectomy.
The majority of ureteropelvic metastatic tumors are of non-urologic origin. A case of metastatic clear cell adenocarcinoma to the renal pelvis in a patient with a bilateral, asynchronous renal tumor is presented. Conservative surgical treatment involved open pyelotomy and local resection of the tumor. At the 12-month follow-up, the patient is alive, asymptomatic and not on dialysis. The hypothesis for the mechanisms of dissemination and the relevance of conservative treatment are discussed.
Da Silva
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EA
Department of Urology, POVISA hospital, Vigo, Spain. uropovisa@pulso.com
Zungri Telo
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E
Neira Pampin
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F
Sacristan
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F
de la Fuente Buceta
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A
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D007682:Kidney Pelvis; D009392:Nephrectomy