title: Concomitant urothelial cancer and renal tuberculosis.
abstract: We report a case of coexisting urothelial cancer and renal tuberculosis in the same kidney. The patient is a 72-year-old female with a remote history of treated pulmonary tuberculosis who presented with haematuria, initial investigation of which elucidated no definitive cause. Almost 1 year later, a diagnosis of metastatic urinary tract cancer was made. The patient received chemotherapy for advanced collecting duct type renal cell carcinoma, based on histological features of renal biopsy. Subsequent confirmatory immunostains however led to a revised diagnosis of urothelial cancer, necessitating a change in chemotherapy regimen. A diagnosis of ipsilateral renal tuberculosis was made based on TB-PCR testing of renal biopsy tissue and anti-TB therapy was coadministered with chemotherapy. The patient died 9 months after diagnosis of metastatic urothelial cancer.
authors.affiliation: Department of Pathology, University Hospital of the West Indies, University of the West Indies, Mona, Kingston 7, Jamaica.
authors.forename: Sheray N
authors.initials: SN
authors.lastname: Chin
authors.affiliation: Department of Medicine, University Hospital of the West Indies, University of the West Indies, Mona, Kingston 7, Jamaica.
authors.forename: Tanya
authors.identifier: 0000-0002-4206-0795
authors.initials: T
authors.lastname: Foster
authors.affiliation: Department of Pathology, University Hospital of the West Indies, University of the West Indies, Mona, Kingston 7, Jamaica.
authors.forename: Gurendra
authors.initials: G
authors.lastname: Char
authors.affiliation: Department of Medicine, University Hospital of the West Indies, University of the West Indies, Mona, Kingston 7, Jamaica.
authors.forename: Audene
authors.identifier: 0000-0001-9126-9627
authors.initials: A
authors.lastname: Garrison