Pyonephrosis as a sign of sarcomatoid carcinoma of the renal pelvis.

Abstract:

:We report the case of an urgent nephrectomy because of a pyonephrosis and sepsis due to an unsuspected sarcomatoid transitional cell carcinoma, an infrequent subtype with a bad oncological prognosis. We present a 58-year-old man assessed by internal medicine for a general syndrome and weakness many months previously. A pyonephrotic kidney was observed at abdominal computed tomography in the context of septic shock, without suspecting the underlying cause. The pathology report described a sarcomatoid transitional cell carcinoma. Sarcomatoid transitional cell carcinoma is an invasive and infrequent subtype of urothelial tumors. The symptoms are often the same as other renal masses; however, in this case, sepsis and pyonephrosis were the rare initial symptoms.

journal_name

World J Clin Cases

authors

Fernández-Pello S,Venta V,González I,Gil R,Menéndez CL

doi

10.12998/wjcc.v2.i6.215

subject

Has Abstract

pub_date

2014-06-16 00:00:00

pages

215-8

issue

6

issn

2307-8960

journal_volume

2

pub_type

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