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CASE REPORT
Year : 2000  |  Volume : 16  |  Issue : 2  |  Page : 170-171
 

Transitional cell carcinoma in ectopic kidney - pelvic kidney


Division of Urology, Kasturba Medical College, Manipal, India

Correspondence Address:
Joseph Philipraj
Division of Urology, KMC Manipal - 576 119
India
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Source of Support: None, Conflict of Interest: None


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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

How to cite this URL:
Philipraj J, Raju LN, Prashar R, Sasidharan K. Transitional cell carcinoma in ectopic kidney - pelvic kidney. Indian J Urol [serial online] 2000 [cited 2019 Aug 20];16:170-1. Available from: http://www.indianjurol.com/text.asp?2000/16/2/170/22229



   Introduction Top


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 Top


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 Top


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.[1]

 
   References Top

1.Terai-A Oishi-K: Okada-Y; Kawarnura-J: Yoshida-O; Hinyokika­Kiyo. 1984 Nov: 30 (11): 1641-4.  Back to cited text no. 1    


    Figures

  [Figure 1], [Figure 2]



 

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