Case report of synchronous renal pelvic carcinoma and renal cell carcinoma in an elderly male, highlighting unique diagnosis and treatment.
A 73-year-old man presented with asymptomatic macroscopic hematuria. Contrast-enhanced computed tomography revealed a mass filling the right renal pelvis, along with a 2cm cystic tumor in the dorsal aspect of the right upper pole. A retroperitoneoscopic nephroureterectomy was performed based on the diagnosis of right renal pelvic carcinoma. Pathological diagnosis confirmed that the right renal pelvic mass was an invasive urothelial carcinoma, classified as G2 with INFa, pT1, ly0, and v0, while the cystic tumor was a chromophobe renal cell carcinoma, classified as G2 with INFb, pT1a, and v0. No postoperative chemotherapy was administered. The patient's recovery was uneventful, and, seven years after the operation, he remains alive with no signs of recurrence or metastasis.
No takes yet. Share an insight, caveat, or question.
Azuma et al. (2025) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: