Pyonephrosis as a sign of sarcomatoid carcinoma of the renal pelvis

被引：0

作者：

Sergio Fernández-Pello ^{[1
]}

Victoria Venta ^{[2
]}

Iván González ^{[1
]}

Rodrigo Gil ^{[1
]}

Carmen Luz Menéndez ^{[2
]}

机构：

[1] Department of Urology, Cabue?es Hospital

[2] Department of Pathology, Cabue?es Hospital

来源：

World Journal of Clinical Cases | 2014年 / 06期

关键词：

Urothelial carcinoma; Renal pelvis; Sarcomatoid;

D O I：

暂无

中图分类号：

R737.11 [肾、肾盂肿瘤];

学科分类号：

100214 ;

摘要：

We report the case of an urgent nephrectomy because of a pyonephrosis and sepsis due to an unsuspected sarcomatoid transitional cell carcinoma, an infrequent subtype with a bad oncological prognosis. We present a 58-year-old man assessed by internal medicine for a general syndrome and weakness many months previously. A pyonephrotic kidney was observed at abdominal computed tomography in the context of septic shock, without suspecting the underlying cause. The pathology report described a sarcomatoid transitional cell carcinoma. Sarcomatoid transitional cell carcinoma is an invasive and infrequent subtype of urothelial tumors. The symptoms are often the same as other renal masses; however, in this case, sepsis and pyonephrosis were the rare initial symptoms.

引用

页码：215 / 218

页数：4

共 14 条

[11]

Distribution of cytokeratins and vimentin in adult renal neoplasms and normal renal tissue: potential utility of a cytokeratin antibody panel in the differential diagnosis of renal tumors. Skinnider Brian F,Folpe Andrew L,Hennigar Randolph A,Lim So Dug,Cohen Cynthia,Tamboli Pheroze,Young Andrew,de Peralta-Venturina Mariza,Amin Mahul B. The American journal of surgical pathology . 2005

[12]

Sarcomatoid Transitional Cell Carcinoma of the Renal Pelvis[J] . A. Lopez-Beltran,A.L. Escudero,A.O. Cavazzana,L.G. Spagnoli,L. Vicioso-Recio. &nbspPathology - Research and Practice . 1996 (12)

[13]

Histologic variants of urothelial carcinoma: differential diagnosis and clinical implications[J] . Antonio Lopez-Beltran,Liang Cheng. &nbspHuman Pathology . 2006 (11)

[14]

Pathology of tumors of the renal pelvis and ureter,and the urethra. Lopez-Beltran A,Montironi R,Vidal-Jimenez A,Cheng L. Clinical Pathology of Urologic Tumors . 2007

← 1 2 →