Transitional cell carcinoma of the renal pelvis masquerading as renal tuberculosis

Authors

  • Samuel Lalhruaizela Department of Surgery, Zoram Medical College, Falkawn, Mizoram
  • Zothansanga Zadeng Department of Surgery, Zoram Medical College, Falkawn, Mizoram
  • Lal Hruaitluanga Department of Surgery, Zoram Medical College, Falkawn, Mizoram

DOI:

https://doi.org/10.18203/2349-2902.isj20201015

Keywords:

Renal tuberculosis, Transitional cell carcinoma, Renal pelvis

Abstract

We report a case of transitional cell carcinoma of the right renal pelvis mimicking the signs, symptoms and radiological findings of renal tuberculosis (TB). She had been diagnosed initially for urinary tract infection and radiological diagnosis initially was more towards renal TB and urine cytology and cultures were normal. Specific investigations for tuberculosis all showed negative results. But as neoplasia could not be ruled out by ureterorenoscopy due to presence of multiple ureteric strictures, decision was taken for an exploratory surgery. During surgery it was found that there was a tumour in the upper pole of kidney involving the renal pelvis and was found to be papillary transitional cell carcinoma on histopathological examination.

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Author Biographies

Samuel Lalhruaizela, Department of Surgery, Zoram Medical College, Falkawn, Mizoram

Assistant Professor

Zothansanga Zadeng, Department of Surgery, Zoram Medical College, Falkawn, Mizoram

Senior Resident

Lal Hruaitluanga, Department of Surgery, Zoram Medical College, Falkawn, Mizoram

Senior Resident

References

Vijayaraghavan SB, Kandasamy SV, Arul M, Prabhakar M, Dhinakaran CL, Siegel RL, et al. Cancer statistics, 2016. CA Cancer J Clin. 2016;66(1):7-30

Vijayaraghavan SB, Kandasamy SV. Spectrum of High-Resolution Sonographic Features of Urinary Tuberculosis. J Ultrasound Med. 2004;23:585-94.

Gillitzer R, Melchior SW, Hampel C, Pfitzenmaier J, Thüroff JW. Transitional cell carcinoma of the renal pelvis resenting as a renal abscess. Urology 2002;60:165.

Lee TY, Ko SF, Wan YL, Cheng YF, Yang WC, Hsieh HH, et al. Unusual imaging presentations in renal transitional cell carcinoma. Acta Radiologica. 1997;38(6):1015-9.

Raman JD, Scherr DS. Management of patients with upper urinary tract transitional cell carcinoma. Nature Clin Pract Urol. 2007;4(8):432-43.

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Published

2020-03-26

Issue

Section

Case Reports