Ipsilateral Synchronous Neoplasms of Kidney Presenting as Acute Pyelonephritis and Bladder Metastasis - 22/08/11
Address for correspondence: Tai-Lung Cha, M.D., Ph.D., Division of Urology, Department of Surgery, Tri-Service General Hospital, No. 325, Cheng-Kung Road, Sec. 2, Taipei, Taiwan 114 Republic of ChinaRésumé |
Ipsilateral multiple synchronous primary renal neoplasms is an uncommon presentation, and only a few cases have been reported in published studies. We report the case of a 57-year-old woman with acute pyelonephritis as the initial presentation, in whom conservative treatment had no effect. Surgical intervention revealed the presence of concomitant renal cell carcinoma, collecting duct carcinoma, and urothelial carcinoma (transitional cell carcinoma) of the kidney. Metastatic renal cell carcinoma to the bladder, liver, and lung subsequently developed. Deceptive inflammatory presentations can occur in aggressive synchronous renal malignancies. Recognition of this rare disease entity could prevent delays in diagnosis and treatment.
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Vol 73 - N° 5
P. 1163.e9-1163.e11 - mai 2009 Retour au numéro
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