title: Primary mucinous adenocarcinoma of the renal pelvis with elevated CEA and CA19-9.
abstract: Primary adenocarcinoma of the renal pelvis is rarely reported in the literature. Here we present a case of primary mucinous adenocarcinoma of the renal pelvis with elevated serum carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9) levels. A 56-year-old woman was referred to our center with intermittent fever and left-sided back pain for 1 month. Computed tomography showed bilateral nephrolithiasis, mild right hydronephrosis and left pyonephrosis accompanied with ambiguous soft tissues. A radionucleorenogram showed that the glomerular filtration rate of the left and right kidney was 0 and 79 ml/min, respectively. Left nephrectomy was performed without lymph node dissection. Histopathology revealed mucinous adenocarcinoma and elevated serum CEA and CA19-9 levels were found. She died of multiorgan metastasis after 5 months. A review of the literature is also reported.
authors: Department of Urology, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors: Yun-Lin
authors: YL
authors: Ye
authors: Jun
authors: J
authors: Bian
authors: Yan-Ping
authors: YP
authors: Huang
authors: Yan
authors: Y
authors: Guo
authors: Zhi-Xun
authors: ZX
authors: Li
authors: Chun-Hua
authors: CH
authors: Deng
authors: Yu-Ping
authors: YP
authors: Dai
authors: Xiang-Zhou
authors: XZ
authors: Sun
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000276:immunology* / Q000556:secondary / Q000601:surgery; D018395:CA-19-9 Antigen / Q000032:analysis*; D002272:Carcinoembryonic Antigen / Q000032:analysis*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D007680:Kidney Neoplasms / Q000276:immunology* / Q000473:pathology / Q000601:surgery; D007682:Kidney Pelvis / Q000276:immunology* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009392:Nephrectomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D015854:Up-Regulation; D051598:Whole Body Imaging
chemical_list: D018395:CA-19-9 Antigen; D002272:Carcinoembryonic Antigen