Rare pathology of renal mass in a 47 year old woman

Abbas Basiri - M.Hossein Soltani - Mahmood Parvin

Case presentation

The  patient is a 47 year old woman who presented with painless hematuria. she had no urinary symptoms , weight loss and night sweating . past medical history was unremarkable. she was not smoker and did not consume alcohol and opioum. physical examination was normal.

Sonography

A 81*63 mm hypoechoic mass in upper pole of left kidney , right kidney is normal.

 

Urine cytology

Negative for malignancy

 CT SCAN

 

  67 * 59 mm solid mass in left kidney and multiple paraaortic lymphadenopathy in left renal and infrarenal area.

 

Regarding to the possibility of tumor origination from pyelocalyceal system  , we performed left retrograde pyelography .

 

 

Surgical procedure:

The patient underwent left radical nephrectomy.

Pathology

 

Renal pelvis adenocarcinoma

 

 

Edited by : Mohammad Hossein soltani - Mahmood Parvin

       (Sep - 2008)

	Submission: 10/15/2008, Modified: 5/28/2009