title: An unusual case of transitional cell carcinoma of renal pelvis presenting with brain metastases.
abstract: We report a rare case, who had presented with a constellation of neurological symptoms (due to multiple brain metastases), but without any urological symptoms, to the department of neurosurgery. The patient was managed with gamma knife stereotactic radiosurgery for the metastatic lesions. During an evaluation for primary, he was found to be having transitional cell carcinoma (TCC) of right renal pelvis, for which palliative radical nephroureterectomy was performed, following which he received four cycles of paclitaxel and carboplatin chemotherapy. The patient is alive with stable disease at 22-months follow-up.
authors.affiliation: Department of Urology, All India Institute of Medical Sciences, New Delhi, 110029, India.
authors.forename: Surendra B
authors.initials: SB
authors.lastname: Kolla
authors.forename: Ashok K
authors.initials: AK
authors.lastname: Hemal
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001932:Brain Neoplasms / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery; D016190:Carboplatin / Q000008:administration & dosage; D002295:Carcinoma, Transitional Cell / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery / Q000628:therapy; D003131:Combined Modality Therapy; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D007682:Kidney Pelvis; D008279:Magnetic Resonance Imaging; D008297:Male; D017239:Paclitaxel / Q000627:therapeutic use; D014513:Ureter / Q000601:surgery
chemical_list: D016190:Carboplatin; D017239:Paclitaxel