Renal pelvic tumor with difficult radiological diagnosis : a report of two cases
Case 1 : A 60-year-old man presented with right flank pain. A computed tomography (CT) scan revealed a large right renal tumor, multiple lung metastases, multiple liver metastases, and tumor thrombus of the right renal vein. These findings were strongly suggestive of renal cell carcinoma. The patien...
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| Veröffentlicht in: | Hinyokika kiyo. Acta urologica Japonica 2014-05, Vol.60 (5), p.231-235 |
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| container_title | Hinyokika kiyo. Acta urologica Japonica |
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| creator | Shinohara, Masatake Hosokawa, Yukinari Iida, Kouta Takenaga, Maho Itami, Yoshitaka Hayashi, Yoshiki Fujimoto, Kiyohide |
| description | Case 1 : A 60-year-old man presented with right flank pain. A computed tomography (CT) scan revealed a large right renal tumor, multiple lung metastases, multiple liver metastases, and tumor thrombus of the right renal vein. These findings were strongly suggestive of renal cell carcinoma. The patient suddenly complained of dyspnea at night due to bilateral pulmonary embolism, and the patient died 11 days after onset. Needle necropsy showed that the tumors were squamous cell carcinomas of the renal pelvis. Case 2 : A 66-year-old man presented with macrohematuria. An abdominal CT scan revealed a right renal mass and liver metastasis. The differential diagnosis was between renal cell carcinoma and urothelial carcinoma. A renal biopsy revealed urothelial carcinoma of the renal pelvis. The patient died of the disease 3 months after initiation of chemotherapy with gemcitabine and cisplatin. We report these 2 cases to emphasize the importance of renal biopsy and thorough histological analysis for the determination of treatment strategies against unresectable renal tumors. |
| format | Article |
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A computed tomography (CT) scan revealed a large right renal tumor, multiple lung metastases, multiple liver metastases, and tumor thrombus of the right renal vein. These findings were strongly suggestive of renal cell carcinoma. The patient suddenly complained of dyspnea at night due to bilateral pulmonary embolism, and the patient died 11 days after onset. Needle necropsy showed that the tumors were squamous cell carcinomas of the renal pelvis. Case 2 : A 66-year-old man presented with macrohematuria. An abdominal CT scan revealed a right renal mass and liver metastasis. The differential diagnosis was between renal cell carcinoma and urothelial carcinoma. A renal biopsy revealed urothelial carcinoma of the renal pelvis. The patient died of the disease 3 months after initiation of chemotherapy with gemcitabine and cisplatin. We report these 2 cases to emphasize the importance of renal biopsy and thorough histological analysis for the determination of treatment strategies against unresectable renal tumors.</description><identifier>ISSN: 0018-1994</identifier><identifier>PMID: 24894859</identifier><language>jpn</language><publisher>Japan</publisher><subject>Biopsy ; Carcinoma, Renal Cell - diagnostic imaging ; Carcinoma, Renal Cell - pathology ; Humans ; Kidney Neoplasms - diagnostic imaging ; Kidney Neoplasms - pathology ; Kidney Pelvis ; Male ; Middle Aged ; Tomography, X-Ray Computed</subject><ispartof>Hinyokika kiyo. 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Acta urologica Japonica</title><addtitle>Hinyokika Kiyo</addtitle><description>Case 1 : A 60-year-old man presented with right flank pain. A computed tomography (CT) scan revealed a large right renal tumor, multiple lung metastases, multiple liver metastases, and tumor thrombus of the right renal vein. These findings were strongly suggestive of renal cell carcinoma. The patient suddenly complained of dyspnea at night due to bilateral pulmonary embolism, and the patient died 11 days after onset. Needle necropsy showed that the tumors were squamous cell carcinomas of the renal pelvis. Case 2 : A 66-year-old man presented with macrohematuria. An abdominal CT scan revealed a right renal mass and liver metastasis. The differential diagnosis was between renal cell carcinoma and urothelial carcinoma. A renal biopsy revealed urothelial carcinoma of the renal pelvis. The patient died of the disease 3 months after initiation of chemotherapy with gemcitabine and cisplatin. We report these 2 cases to emphasize the importance of renal biopsy and thorough histological analysis for the determination of treatment strategies against unresectable renal tumors.</description><subject>Biopsy</subject><subject>Carcinoma, Renal Cell - diagnostic imaging</subject><subject>Carcinoma, Renal Cell - pathology</subject><subject>Humans</subject><subject>Kidney Neoplasms - diagnostic imaging</subject><subject>Kidney Neoplasms - pathology</subject><subject>Kidney Pelvis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Tomography, X-Ray Computed</subject><issn>0018-1994</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo10M1KAzEYheEsFFtqb0GydDOQZJJJ4k6Kf1BQRNdDJvlSA5lmTDIW796C7epsHs7ivUBLQqhqqNZ8gdalhIGQlnDJqbhCC8aV5kroJXp7h72JeIL4Eyyu85gyPoT6hV3wPtg5VpyNCymmXbBH6ILZ7VMJBd9hgzNMKVecPK6HhK0pUK7RpTexwPq0K_T5-PCxeW62r08vm_ttM1HW1UYyqYXjHfVCMKGG1ipDHJXMWy-p7sQgmfJtpxkjIAcBAoi2whlgg2FKtit0-_875fQ9Q6n9GIqFGM0e0lx6KlqmueYdP9KbE52HEVw_5TCa_NufK7R_FR5YJQ</recordid><startdate>201405</startdate><enddate>201405</enddate><creator>Shinohara, Masatake</creator><creator>Hosokawa, Yukinari</creator><creator>Iida, Kouta</creator><creator>Takenaga, Maho</creator><creator>Itami, Yoshitaka</creator><creator>Hayashi, Yoshiki</creator><creator>Fujimoto, Kiyohide</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201405</creationdate><title>Renal pelvic tumor with difficult radiological diagnosis : a report of two cases</title><author>Shinohara, Masatake ; Hosokawa, Yukinari ; Iida, Kouta ; Takenaga, Maho ; Itami, Yoshitaka ; Hayashi, Yoshiki ; Fujimoto, Kiyohide</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p126t-72795d461f55258b3c8a0d172fcf71965b728f369220e7b5e5e09c5dae2ba2873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2014</creationdate><topic>Biopsy</topic><topic>Carcinoma, Renal Cell - diagnostic imaging</topic><topic>Carcinoma, Renal Cell - pathology</topic><topic>Humans</topic><topic>Kidney Neoplasms - diagnostic imaging</topic><topic>Kidney Neoplasms - pathology</topic><topic>Kidney Pelvis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Tomography, X-Ray Computed</topic><toplevel>online_resources</toplevel><creatorcontrib>Shinohara, Masatake</creatorcontrib><creatorcontrib>Hosokawa, Yukinari</creatorcontrib><creatorcontrib>Iida, Kouta</creatorcontrib><creatorcontrib>Takenaga, Maho</creatorcontrib><creatorcontrib>Itami, Yoshitaka</creatorcontrib><creatorcontrib>Hayashi, Yoshiki</creatorcontrib><creatorcontrib>Fujimoto, Kiyohide</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Hinyokika kiyo. Acta urologica Japonica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shinohara, Masatake</au><au>Hosokawa, Yukinari</au><au>Iida, Kouta</au><au>Takenaga, Maho</au><au>Itami, Yoshitaka</au><au>Hayashi, Yoshiki</au><au>Fujimoto, Kiyohide</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Renal pelvic tumor with difficult radiological diagnosis : a report of two cases</atitle><jtitle>Hinyokika kiyo. Acta urologica Japonica</jtitle><addtitle>Hinyokika Kiyo</addtitle><date>2014-05</date><risdate>2014</risdate><volume>60</volume><issue>5</issue><spage>231</spage><epage>235</epage><pages>231-235</pages><issn>0018-1994</issn><abstract>Case 1 : A 60-year-old man presented with right flank pain. A computed tomography (CT) scan revealed a large right renal tumor, multiple lung metastases, multiple liver metastases, and tumor thrombus of the right renal vein. These findings were strongly suggestive of renal cell carcinoma. The patient suddenly complained of dyspnea at night due to bilateral pulmonary embolism, and the patient died 11 days after onset. Needle necropsy showed that the tumors were squamous cell carcinomas of the renal pelvis. Case 2 : A 66-year-old man presented with macrohematuria. An abdominal CT scan revealed a right renal mass and liver metastasis. The differential diagnosis was between renal cell carcinoma and urothelial carcinoma. A renal biopsy revealed urothelial carcinoma of the renal pelvis. The patient died of the disease 3 months after initiation of chemotherapy with gemcitabine and cisplatin. We report these 2 cases to emphasize the importance of renal biopsy and thorough histological analysis for the determination of treatment strategies against unresectable renal tumors.</abstract><cop>Japan</cop><pmid>24894859</pmid><tpages>5</tpages></addata></record> |
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| ispartof | Hinyokika kiyo. Acta urologica Japonica, 2014-05, Vol.60 (5), p.231-235 |
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| subjects | Biopsy Carcinoma, Renal Cell - diagnostic imaging Carcinoma, Renal Cell - pathology Humans Kidney Neoplasms - diagnostic imaging Kidney Neoplasms - pathology Kidney Pelvis Male Middle Aged Tomography, X-Ray Computed |
| title | Renal pelvic tumor with difficult radiological diagnosis : a report of two cases |
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