Presentation
Incidental finding on CT performed for staging of colorectal carcinoma.
Patient Data
Gross pathological sample
Nephrectomy ( cut ).
Large tumor occupying the renal pelvis extending into the upper and mid pole calyces.
Images courtesy of Department of Pathology, RIPAS Hospital, Brunei.
Case Discussion
Transitional cell carcinoma is more commonly associated with the bladder, but can effect any part of the genitourinary tract.
In this case it was identified on a CT performed for other purposes. Hematuria is the main symptomatic presentation.
Imaging of the upper tracts is best undertaken with either CT-IVU or split bolus technique imaging.