Open AccessEssential role of using virtual pyeloscopy in the diagnosis of small satellite renal pelvic tumour in solitary kidney patient
Author(s) -
Pál Bata,
Dávid László Tárnoki,
Ádám Domonkos Tárnoki,
Zsolt Domjan,
István Buzogány,
Viktor Bérczi
Publication year - 2012
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.27
Subject(s) - medicine , cystoscopy , resection , lesion , radiology , urothelial cancer , urology , surgery , cancer , urinary system , bladder cancer , anatomy
Virtual pyeloscopy (VP) plays an important role in the organ-sparing nephroscopic tumour resection and traditional pole resection, especially when a fibreoptic ureteroscopic examination cannot be performed. A 67-year-old man developed macroscopic hematuria. Abdominal computed tomography (CT) and cystoscopy revealed a lower calix renal stone and a 20-mm lower pyelon mass suggesting transitional cell cancer. An additional small satellite lesion in the pelvico-ureteral junction was supposedly present. Three-phase MultiDetector CT with VP showed a solitary 3 to 4-mm renal pelvic lesion beyond the known calix stone and lower pole mass. In our case, VP played an important role in the organ-sparing nephroscopic tumour resection and traditional pole resection.