Transitional cell carcinoma of the renal pelvis

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Incidental finding on CT performed for staging of colorectal carcinoma.

Patient Data

Age: 70 years
Gender: Male

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.

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