Renal pelvis cancer — 6 years without treatment and metastasis (case report)

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Renal pelvis cancer is a rare cancer. The data presented in the literature indicate that timely diagnosis and early surgical treatment, often in combination with chemotherapy and radiation therapy, are the key to success. This is due to the high metastatic potential of this type of tumor, rapid spread to the bladder and, as a consequence, unsatisfactory long-term results. This paper presents a rare case of papillary cancer of the renal pelvis, which has completely spread throughout the lumen of the left ureter and into the cavity of the bladder. The duration of the disease in the absence of regional and distant metastasis is surprising. For the first time, the dynamics of tumor tissue growth from the pelvis to the bladder over 3 years in the absence of treatment is presented using a clinical example.

Full Text

Restricted Access

About the authors

Sergey A. Zamyatnin

Saint Petersburg State Pediatric Medical University; LLC “Clinic for the treatment of pain” of the Medical Holding “Medica”

Email: elysium2000@mail.ru
ORCID iD: 0000-0002-8453-2148
SPIN-code: 7024-0062

Dr. Sci. (Medicine)

Russian Federation, Saint Petersburg; Saint Petersburg

Irina S. Gonchar

LLC “Clinic for the treatment of pain” of the Medical Holding “Medica”

Author for correspondence.
Email: bonechka@mail.ru
ORCID iD: 0000-0003-1702-9849
SPIN-code: 2768-7253

MD, Cand. Sci. (Medicine)

Russian Federation, Saint Petersburg

Arthur V. Kosarev

Priozersky Interdistrict Hospital

Email: bonechka@mail.ru
Russian Federation, Priozersk, Leningrad Region

References

  1. Yang T, Zhang N, Yang B, et al. Preintervention risk stratification of renal pelvic cancer and ureteral cancer should differ. Investig Clin Urol. 2020;61(4):397–404. doi: 10.4111/icu.2020.61.4.397
  2. Al-Shukri SKh, Rybakova MG, Korneev IA. Prognosis in carcinomas of the renal pelvis and ureter: the role of clinical signs, expression of protein Ki-67 and cellular infiltration of stroma. Nephrology (Saint-Petersburg). 2004;8(4):77–82.
  3. Komyakov BK, Anichkov NM, Makovskaya AI. Immunohistochemical investigation of transitional cell carcinoma of the upper urinary tract. Medical Academic Journal. 2010;10(1):3–10. doi: 10.17816/MAJ1013-10
  4. Ishchenko KB. Epidemiology, clinical picture and diagnosis of urothelial tumors of the renal pelvis and ureter: current state of the problem. Malignant Tumours. 2016;(2):66–71. doi: 10.18027/2224-5057-2016-2-66-71
  5. Stepanova YuA, Morozova MV, Teplov AA, et al. Clinical case of urothelial carcinoma with implantation metastasis. Medical Visualization. 2017;(6):88–99. doi: 10.24835/1607-0763-2017-6-88-99
  6. Wu F, Zhang P, Li L, et al. Inadvertent radical nephrectomy leads to worse prognosis in renal pelvic urothelial carcinoma patients: A propensity score-matched study. Front Oncol. 2022;12:948223. doi: 10.3389/fonc.2022.948223
  7. Patil S, Kaza RCM, Kakkar AK, et al. Small Cell Carcinoma of the Renal Pelvis: A Case Report and Review of the Literature. ISRN Urol. 2011;2011:786505. doi: 10.5402/2011/786505
  8. Zhang J, Duan Y, Wang K, et al. Metachronous urothelial carcinoma in the renal pelvis, bladder, and urethra: A case report. World J Clin Cases. 2023;11(13):3062–3069. doi: 10.12998/wjcc.v11.i13.3062
  9. Li Y, Li X, Dong Z. A case report of renal pelvis carcinoma. Am J Transl Res. 2023;15(1):310–315.
  10. Ignashin NS, Perepechin DV. Ultrasound diagnosis of renal pelvis cancer. Ultrasound and Functional Diagnostics. 2015;(4):117. (In Russ.)
  11. Chekhonatskaya ML, Kondrat’eva OA, Rossolovsky AN, et al. Identification of risk factors for bone metastases in patients with renal pelvis cancer. Russian Electronic Journal of Radiology. 2020;10(2):108–112. doi: 10.21569/2222-7415-2020-10-3-108-112
  12. Chen B, Zeng Z, Wang G, et al. Radiotherapy may improve overall survival of patients with T3/T4 transitional cell carcinoma of the renal pelvis or ureter and delay bladder tumour relapse. BMC Cancer. 2011;11:297. doi: 10.1186/1471-2407-11-297
  13. Zamyatnin SA, Gonchar IS. Solitary kidney cancer metastasis in the thoracic spine: case report. Cancer Urology. 2022;18(4):129–33. doi: 10.17650/1726-9776-2022-18-4-129-13
  14. Hu X, Miao J, Qian L, et al. The predictors and surgical outcomes of different distant metastases patterns in upper tract urothelial carcinoma: A SEER-based study. Front Surg. 2022;9:1045831. doi: 10.3389/fsurg.2022.1045831
  15. Han DS, Yuk SM, Youn ChS, et al. Primary mucinous cystadenocarcinoma of the renal pelvis misdiagnosed as ureteropelvic junction stenosis with renal pelvis stone: a case report and literature review. World J Surg Oncol. 2015;13:324. doi: 10.1186/s12957-015-0739-7
  16. Li J. Papillary adenocarcinoma of the renal pelvis with renal calculus: A rare case report. Mol Clin Oncol. 2016;4(5):821–823. doi: 10.3892/mco.2016.783
  17. Xie X, Wang N, Wang Y, et al. Li Non-invasive papillary urothelial carcinoma, low-grade of the renal pelvis mimicking a xanthogranulomatous pyelonephritis in a male patient: A case report and review of literature. Int J Immunopathol Pharmacol. 2020;34:2058738420925720. doi: 10.1177/2058738420925720

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Multispiral computed tomography of the retroperitoneum. Tumor of the renal pelvis on the left (arrows)

Download (248KB)
3. Fig. 2. Ultrasound examination. Growth of a tumor of the renal pelvis into the bladder

Download (87KB)
4. Fig. 3. Multispiral computed tomography of the retroperitoneum. Tumor of the renal pelvis and left ureter with spread to the bladder (arrows)

Download (250KB)
5. Fig. 4. Macropreparation. Tumor masses in the pyelocaliceal complex of the left kidney

Download (244KB)
6. Fig. 5. Microslide. Urothelial carcinoma

Download (452KB)

Copyright (c) 2023 Eco-Vector



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ №ФС77-65570 от 04 мая 2016 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies