Open AccessIncidental upper tract urothelial carcinoma presenting as pyonephrosis
Author(s) -
K Manjula,
Geethanjali Nagaraj,
Krishna Shetty,
Csbr Prasad
Publication year - 2017
Publication title -
blde university journal of health sciences/blde university journal of health sciences
Language(s) - English
Resource type - Journals
eISSN - 2468-838X
pISSN - 2456-1975
DOI - 10.4103/bjhs.bjhs_2_17
Subject(s) - pyonephrosis , medicine , nephrectomy , urothelial carcinoma , gross hematuria , urology , abdomen , upper urinary tract , kidney , pathology , radiology , urinary system , cancer , bladder cancer
Upper tract urothelial carcinomas (UTUCs) are uncommon and account for only 5%–10% of urothelial carcinomas. The most common symptom of UTUC is gross or microscopic hematuria (70%–80%). A 55-year-old woman admitted with the history of fever and pain in abdomen for the past 20 days. Her history was not significant. She underwent right nephroureterectomy with the provisional clinical diagnosis of pyonephrosis with nonfunctioning kidney. Histopathological examination of nephrectomy specimen showed features of high-grade urothelial carcinoma with renal parenchyma invasion (T3N0M0). Here, we present a rare case of incidental UTUC presenting as pyonephrosis