Renal pelvic urothelial carcinoma with vena caval thrombus mimicking renal cell carcinoma

Richilda Red Diaz, Jong Kyou Kwon, Joo Yong Lee, Ji Hae Nahm, Kang Su Cho, Won Sik Ham, Nam Hoon Cho, Young Deuk Choi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 61-year-old man presented with a right renal mass with a vena caval thrombus on computed tomography that was consistent with renal cell carcinoma. The results of routine laboratory examinations and urinalysis were within normal limits. Preoperative planning was critical owing to the presence of the vena caval thrombus. A radical nephrectomy, vena caval thrombectomy, and regional lymphadenectomy were done. The pathologic report was consistent with a high-grade, invasive urothelial carcinoma, with sarcomatoid differentiation involving the renal vein and inferior vena cava (Stage IV, T4N0M0). Thus, this was a rare case of upper tract urothelial carcinoma. Adjuvant chemotherapy with the methotrexate, vinblastine, doxorubicin, cisplatinum regimen is scheduled. To our knowledge, this is the first report in Korea of upper tract urothelial carcinoma of the sarcomatoid type with a vena caval thrombus.

Original languageEnglish
Pages (from-to)624-627
Number of pages4
JournalKorean Journal of Urology
Volume55
Issue number9
DOIs
Publication statusPublished - 2014 Sep 1

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Venae Cavae
Renal Cell Carcinoma
Thrombosis
Carcinoma
Kidney
Thrombectomy
Renal Veins
Urinalysis
Vinblastine
Inferior Vena Cava
Adjuvant Chemotherapy
Korea
Lymph Node Excision
Nephrectomy
Methotrexate
Doxorubicin
Tomography

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Diaz, Richilda Red ; Kwon, Jong Kyou ; Lee, Joo Yong ; Nahm, Ji Hae ; Cho, Kang Su ; Ham, Won Sik ; Cho, Nam Hoon ; Choi, Young Deuk. / Renal pelvic urothelial carcinoma with vena caval thrombus mimicking renal cell carcinoma. In: Korean Journal of Urology. 2014 ; Vol. 55, No. 9. pp. 624-627.
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Renal pelvic urothelial carcinoma with vena caval thrombus mimicking renal cell carcinoma. / Diaz, Richilda Red; Kwon, Jong Kyou; Lee, Joo Yong; Nahm, Ji Hae; Cho, Kang Su; Ham, Won Sik; Cho, Nam Hoon; Choi, Young Deuk.

In: Korean Journal of Urology, Vol. 55, No. 9, 01.09.2014, p. 624-627.

Research output: Contribution to journalArticle

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AU - Diaz, Richilda Red

AU - Kwon, Jong Kyou

AU - Lee, Joo Yong

AU - Nahm, Ji Hae

AU - Cho, Kang Su

AU - Ham, Won Sik

AU - Cho, Nam Hoon

AU - Choi, Young Deuk

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AB - A 61-year-old man presented with a right renal mass with a vena caval thrombus on computed tomography that was consistent with renal cell carcinoma. The results of routine laboratory examinations and urinalysis were within normal limits. Preoperative planning was critical owing to the presence of the vena caval thrombus. A radical nephrectomy, vena caval thrombectomy, and regional lymphadenectomy were done. The pathologic report was consistent with a high-grade, invasive urothelial carcinoma, with sarcomatoid differentiation involving the renal vein and inferior vena cava (Stage IV, T4N0M0). Thus, this was a rare case of upper tract urothelial carcinoma. Adjuvant chemotherapy with the methotrexate, vinblastine, doxorubicin, cisplatinum regimen is scheduled. To our knowledge, this is the first report in Korea of upper tract urothelial carcinoma of the sarcomatoid type with a vena caval thrombus.

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