Email this article Central renal cell carcinoma: a diagnostic dilemma
- Authors: Mugialan P.1,2, Christopher L.2, Khairul Asri M.G.2, Jagwani A.2
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Affiliations:
- Hospital Pengajar University Putra Malaysia
- UPM
- Issue: Vol 17, No 3 (2021)
- Pages: 145-147
- Section: CLINICAL NOTES
- Published: 10.11.2021
- URL: https://oncourology.abvpress.ru/oncur/article/view/1471
- DOI: https://doi.org/10.17650/1726-9776-2021-17-3-145-147
- ID: 1471
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Abstract
Centrally Located renal tumor poses a diagnostic challenge to differentiate between renal cell carcinoma and transitional cell carcinoma. Imaging alone is not sufficient to make the diagnosis, some invasive diagnostic investigations are required to ascertain the diagnosis. We present a 60 years old gentleman, who presented dyspepsia and further investigation by contrasted CT kidney revealed a centrally located right renal tumor. Before making a management decision, we performed the right renal biopsy of the tumor which turns out to be a renal cell carcinoma. Henceforth, we performed a robotic-assisted laparoscopic right nephrectomy. A renal biopsy, in this case, assisted to decide only radical nephrectomy instead of radical nephroureterectomy which has higher associated morbidity. Thus, it is important to make confirm by tissue biopsy before deciding on surgery in case of the central renal tumor as this prevents subjecting a patient to under-or overtreatment.
About the authors
P. Mugialan
Hospital Pengajar University Putra Malaysia; UPM
Author for correspondence.
Email: drmugialan@gmail.com
Department of Urology, Hospital Pengajar UPM; Department of Urology, Fakulti Perubatan Dan Sains Kesihatan UPM.
Kuala Lumpur
MalaysiaL.K.S. Christopher
UPM
Email: chriskslee@upm.edu.my
Department of Urology, Fakulti Perubatan Dan Sains Kesihatan UPM; Department of Surgery, Hospital Pengajar UPM.
Kuala Lumpur
MalaysiaM. G. Khairul Asri
UPM
Email: mfairuz.ms@upm.edu.my
Department of Urology, Fakulti Perubatan Dan Sains Kesihatan UPM; Department of Surgery, Hospital Pengajar UPM.
Kuala Lumpur
MalaysiaA. Jagwani
UPM
Email: jagwani2899@gmail.com
Arvind Vashdev Jagwani - Department of Urology, Fakulti Perubatan Dan Sains Kesihatan UPM; Department of Surgery, Hospital Pengajar UPM.
Kuala Lumpur
MalaysiaReferences
- NATIONAL CANCER REGISTRY 2012-2016, pg. 26
- Mohammad H. Bagheri, Mark A. Ahlman, Liza Lindenberg, Baris Turkbey, Jeffrey Lin, Ali Cahid Civelek, Ashkan A. Malayeri, Piyush K. Agarwal, Peter L. Choyke, Les R. Folio, Andrea B. Apolo. Advances in medical imaging for the diagnosis and management of common genitourinary cancers. Urologic Oncology: Seminars and Original Investigations, Volume 35, Issue 7, 2017.
- van Oostenbrugge, T. J., Fütterer, J. J., & Mulders, P. (2018). Diagnostic Imaging for Solid Renal Tumors: A Pictorial Review. Kidney cancer (Clifton, Va.), 2(2), 79–93. https://doi.org/10.3233/KCA-180028
- Syed Arsalan Raza, Syed Aslam Sohaib, Anju Sahdev, Nishat Bharwani, Susan Heenan, Hema Verma, Uday Patel. Centrally Infiltrating Renal Masses on CT: Differentiating Intrarenal Transitional Cell Carcinoma From Centrally Located Renal Cell Carcinoma. American Journal of Roentgenology. 2012;198:846-853. 10.2214/AJR.11.7376
- EAU Guidelines on Renal Cell Carcinoma 2021, pg 27-55.
- EAU Guidelines on Upper Urinary Tract Urothelial Carcinoma 2021, pg 14-22.
- Chaan S. Ng, Christopher G. Wood, Paul M. Silverman, Nizar M. Tannir, Pheroze Tamboli, and Carl M. Sandler. Renal Cell Carcinoma: Diagnosis, Staging, and Surveillance. American Journal of Roentgenology 2008 191:4, 1220-1232
- Adilson Prando, Patricia Prando, and Décio Prando.
- Urothelial Cancer of the Renal Pelvicaliceal System: Unusual Imaging Manifestations. RadioGraphics 2010 30:6, 1553-1566
- Syed Arsalan Raza , Syed Aslam Sohaib, Anju Sahdev, Nishat Bharwani, Susan Heenan, Hema Verma, Uday Patel. Centrally Infiltrating Renal Masses on CT: Differentiating Intrarenal Transitional Cell Carcinoma From Centrally Located Renal Cell Carcinoma. AJR Am J Roentgenol. 2012 Apr;198(4):846-53
- Konety BR , Metro MJ, Melham MF, Salup RR. Diagnostic value of voided urine and bladder barbotage cytology in detecting transitional cell carcinoma of the urinary tract. Urol Int. 1999;62(1):26-30
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