TY - JOUR
T1 - Renal pelvic urothelial carcinoma with vena caval thrombus mimicking renal cell carcinoma
AU - Diaz, Richilda Red
AU - Kwon, Jong Kyou
AU - Lee, Joo Yong
AU - Nahm, Ji Hae
AU - Cho, Kang Su
AU - Ham, Won Sik
AU - Cho, Nam Hoon
AU - Choi, Young Deuk
N1 - Publisher Copyright:
© The Korean Urological Association, 2014.
PY - 2014/9/1
Y1 - 2014/9/1
N2 - A 61-year-old man presented with a right renal mass with a vena caval thrombus on computed tomography that was consistent with renal cell carcinoma. The results of routine laboratory examinations and urinalysis were within normal limits. Preoperative planning was critical owing to the presence of the vena caval thrombus. A radical nephrectomy, vena caval thrombectomy, and regional lymphadenectomy were done. The pathologic report was consistent with a high-grade, invasive urothelial carcinoma, with sarcomatoid differentiation involving the renal vein and inferior vena cava (Stage IV, T4N0M0). Thus, this was a rare case of upper tract urothelial carcinoma. Adjuvant chemotherapy with the methotrexate, vinblastine, doxorubicin, cisplatinum regimen is scheduled. To our knowledge, this is the first report in Korea of upper tract urothelial carcinoma of the sarcomatoid type with a vena caval thrombus.
AB - A 61-year-old man presented with a right renal mass with a vena caval thrombus on computed tomography that was consistent with renal cell carcinoma. The results of routine laboratory examinations and urinalysis were within normal limits. Preoperative planning was critical owing to the presence of the vena caval thrombus. A radical nephrectomy, vena caval thrombectomy, and regional lymphadenectomy were done. The pathologic report was consistent with a high-grade, invasive urothelial carcinoma, with sarcomatoid differentiation involving the renal vein and inferior vena cava (Stage IV, T4N0M0). Thus, this was a rare case of upper tract urothelial carcinoma. Adjuvant chemotherapy with the methotrexate, vinblastine, doxorubicin, cisplatinum regimen is scheduled. To our knowledge, this is the first report in Korea of upper tract urothelial carcinoma of the sarcomatoid type with a vena caval thrombus.
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U2 - 10.4111/kju.2014.55.9.624
DO - 10.4111/kju.2014.55.9.624
M3 - Article
C2 - 25237466
AN - SCOPUS:84907152104
SN - 2005-6737
VL - 55
SP - 624
EP - 627
JO - Korean Journal of Urology
JF - Korean Journal of Urology
IS - 9
ER -