Cargando…
Primary mucinous adenocarcinoma of the renal pelvis misdiagnosed as calculous pyonephrosis: a case report and literature review
Primary mucinous adenocarcinoma of the renal pelvis is a rare malignant disease that is difficult to diagnose preoperatively. There are still no characteristic symptoms, radiological features, or standard treatment for this tumor with only ~100 cases reported. The prognosis is poor. We report a case...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214977/ https://www.ncbi.nlm.nih.gov/pubmed/32420184 http://dx.doi.org/10.21037/tau.2019.12.38 |
_version_ | 1783532084942340096 |
---|---|
author | Li, Huihuang Xie, Fujuan Zhao, Cheng Yi, Zhenglin Chen, Jinbo Zu, Xiongbing |
author_facet | Li, Huihuang Xie, Fujuan Zhao, Cheng Yi, Zhenglin Chen, Jinbo Zu, Xiongbing |
author_sort | Li, Huihuang |
collection | PubMed |
description | Primary mucinous adenocarcinoma of the renal pelvis is a rare malignant disease that is difficult to diagnose preoperatively. There are still no characteristic symptoms, radiological features, or standard treatment for this tumor with only ~100 cases reported. The prognosis is poor. We report a case of a 66-year-old man who presented with a 2-month history of fever and right waist pain. He was misdiagnosed with calculous pyonephrosis and underwent percutaneous nephrostomy (PCN) at a local hospital. Gelatinous material was drained via a PCN catheter. He was then transferred to our hospital. He had elevated CEA and CA19-9. We performed an open radical nephrectomy and found polypoid, gelatinous material and stones filling the renal pelvis. He was diagnosed with primary mucinous adenocarcinoma of the renal pelvis by pathology. He refused adjuvant chemotherapy and there was no sign of recurrence after one year of follow-up. By assessing a literature review of all of the cases reported since 2000, we recommend that careful history taking, serum tumor markers, and CT scans may improve the diagnostic accuracy rates and radical nephrectomy with total ureterectomy accompanied by adjuvant therapy may improve the prognosis. |
format | Online Article Text |
id | pubmed-7214977 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-72149772020-05-15 Primary mucinous adenocarcinoma of the renal pelvis misdiagnosed as calculous pyonephrosis: a case report and literature review Li, Huihuang Xie, Fujuan Zhao, Cheng Yi, Zhenglin Chen, Jinbo Zu, Xiongbing Transl Androl Urol Case Report Primary mucinous adenocarcinoma of the renal pelvis is a rare malignant disease that is difficult to diagnose preoperatively. There are still no characteristic symptoms, radiological features, or standard treatment for this tumor with only ~100 cases reported. The prognosis is poor. We report a case of a 66-year-old man who presented with a 2-month history of fever and right waist pain. He was misdiagnosed with calculous pyonephrosis and underwent percutaneous nephrostomy (PCN) at a local hospital. Gelatinous material was drained via a PCN catheter. He was then transferred to our hospital. He had elevated CEA and CA19-9. We performed an open radical nephrectomy and found polypoid, gelatinous material and stones filling the renal pelvis. He was diagnosed with primary mucinous adenocarcinoma of the renal pelvis by pathology. He refused adjuvant chemotherapy and there was no sign of recurrence after one year of follow-up. By assessing a literature review of all of the cases reported since 2000, we recommend that careful history taking, serum tumor markers, and CT scans may improve the diagnostic accuracy rates and radical nephrectomy with total ureterectomy accompanied by adjuvant therapy may improve the prognosis. AME Publishing Company 2020-04 /pmc/articles/PMC7214977/ /pubmed/32420184 http://dx.doi.org/10.21037/tau.2019.12.38 Text en 2020 Translational Andrology and Urology. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Case Report Li, Huihuang Xie, Fujuan Zhao, Cheng Yi, Zhenglin Chen, Jinbo Zu, Xiongbing Primary mucinous adenocarcinoma of the renal pelvis misdiagnosed as calculous pyonephrosis: a case report and literature review |
title | Primary mucinous adenocarcinoma of the renal pelvis misdiagnosed as calculous pyonephrosis: a case report and literature review |
title_full | Primary mucinous adenocarcinoma of the renal pelvis misdiagnosed as calculous pyonephrosis: a case report and literature review |
title_fullStr | Primary mucinous adenocarcinoma of the renal pelvis misdiagnosed as calculous pyonephrosis: a case report and literature review |
title_full_unstemmed | Primary mucinous adenocarcinoma of the renal pelvis misdiagnosed as calculous pyonephrosis: a case report and literature review |
title_short | Primary mucinous adenocarcinoma of the renal pelvis misdiagnosed as calculous pyonephrosis: a case report and literature review |
title_sort | primary mucinous adenocarcinoma of the renal pelvis misdiagnosed as calculous pyonephrosis: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214977/ https://www.ncbi.nlm.nih.gov/pubmed/32420184 http://dx.doi.org/10.21037/tau.2019.12.38 |
work_keys_str_mv | AT lihuihuang primarymucinousadenocarcinomaoftherenalpelvismisdiagnosedascalculouspyonephrosisacasereportandliteraturereview AT xiefujuan primarymucinousadenocarcinomaoftherenalpelvismisdiagnosedascalculouspyonephrosisacasereportandliteraturereview AT zhaocheng primarymucinousadenocarcinomaoftherenalpelvismisdiagnosedascalculouspyonephrosisacasereportandliteraturereview AT yizhenglin primarymucinousadenocarcinomaoftherenalpelvismisdiagnosedascalculouspyonephrosisacasereportandliteraturereview AT chenjinbo primarymucinousadenocarcinomaoftherenalpelvismisdiagnosedascalculouspyonephrosisacasereportandliteraturereview AT zuxiongbing primarymucinousadenocarcinomaoftherenalpelvismisdiagnosedascalculouspyonephrosisacasereportandliteraturereview |