|Year : 2000 | Volume
| Issue : 2 | Page : 170-171
Transitional cell carcinoma in ectopic kidney - pelvic kidney
Joseph Philipraj, Laxmi Narayan Raju, Rakesh Prashar, K Sasidharan
Division of Urology, Kasturba Medical College, Manipal, India
Division of Urology, KMC Manipal - 576 119
Source of Support: None, Conflict of Interest: None
Keywords: Transitional Cell Carcinoma; Ectopic (Pelvic Kidney).
|How to cite this article:|
Philipraj J, Raju LN, Prashar R, Sasidharan K. Transitional cell carcinoma in ectopic kidney - pelvic kidney. Indian J Urol 2000;16:170-1
| Introduction|| |
Transitional cell carcinoma of the upper tract is rare. It constitutes <10% of the upper tract tumors. Incidence of ectopic kidney with TCC is still rare. Herein we report a case of TCC in a pelvic kidney.
| Case Report|| |
A 65-year-old male presented with history of suprapubic pain and difficulty in voiding. On examination a predominantly left-sided firm and regular mass was palpable in the hypogastrium which persisted even when the blader was empty. Per rectal examination and ultrasound revealed a mass anterior to the rectum towards the left side in the pelvis measuring 12.5*8/5cms. Rt.kidney was normal in situation and size. Lt. renal fossa was empty. A provisional diagnosis of Renal Cell Carcinoma in a left sided pelvic kidney was made and subsequently substantiated with CT.IVU earlier had disclosed non-visualization of left renal unit and confirmed a normally positioned and functioning rt.kidney. Cystogram phase characterized the extrinsic distortion of the bladder by the mass [Figure 1].Cystoscopy was unremarkable.
The exploratory findings were consitent with renal cell carcinoma in a pelvic kidney and a radical nephroureterectomy was carried out. Histopathology of the mass however revealed a Grade II Transitional Cell Carcinoma [Figure 2].
| Comments|| |
TCC of the upper tract is rare. Literature search gives only 2 case reports of TCC in ectopic kidney. This case is presented as it is a rare occurrence. Unusual situation of the kidney does not alter the traditional management strategies offered for transitional cell carcinoma of the kidney.
| References|| |
|1.||Terai-A Oishi-K: Okada-Y; Kawarnura-J: Yoshida-O; HinyokikaKiyo. 1984 Nov: 30 (11): 1641-4. |
[Figure 1], [Figure 2]