Case report: Sarcomatoid urothelial carcinoma of the renal pelvis masquerading as a renal abscess
Sarcomatoid urothelial carcinoma (SUC), a rare tumor of the urinary tract epithelium, exhibits a high degree of malignancy and therefore a poor prognosis. Due to the absence of specific clinical presentations and imaging findings, SUC of the renal pelvis masquerades as a renal abscess is frequently...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1055229/full |
| _version_ | 1797945507100753920 |
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| author | Yaru Chu Hao Ning Hao Ning Ke Yin Tong Chen Haihu Wu Haihu Wu Delin Wang Feifan Liu Zhenlin Zhao Jiaju Lv Jiaju Lv |
| author_facet | Yaru Chu Hao Ning Hao Ning Ke Yin Tong Chen Haihu Wu Haihu Wu Delin Wang Feifan Liu Zhenlin Zhao Jiaju Lv Jiaju Lv |
| author_sort | Yaru Chu |
| collection | DOAJ |
| description | Sarcomatoid urothelial carcinoma (SUC), a rare tumor of the urinary tract epithelium, exhibits a high degree of malignancy and therefore a poor prognosis. Due to the absence of specific clinical presentations and imaging findings, SUC of the renal pelvis masquerades as a renal abscess is frequently under-recognized or misdiagnosed as benign inflammatory disease, resulting in delayed or erroneous treatment. Here, we report a patient with SUC of the renal pelvis who presented with a renal abscess. Repeated anti-inflammatory treatment was ineffective. Unexpectedly, cancerous cells were detected in subsequent exfoliative cytology of nephrostomy drainage fluid. In accordance with this, radical surgery and postoperative chemotherapy were conducted. Fortunately, neither recurrence nor metastasis occurred during a one-year follow-up. |
| first_indexed | 2024-04-10T20:56:13Z |
| format | Article |
| id | doaj.art-f64f2ddea41e41b6b516d91d3f6df4cf |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-10T20:56:13Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-f64f2ddea41e41b6b516d91d3f6df4cf2023-01-23T05:58:52ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-01-011310.3389/fonc.2023.10552291055229Case report: Sarcomatoid urothelial carcinoma of the renal pelvis masquerading as a renal abscessYaru Chu0Hao Ning1Hao Ning2Ke Yin3Tong Chen4Haihu Wu5Haihu Wu6Delin Wang7Feifan Liu8Zhenlin Zhao9Jiaju Lv10Jiaju Lv11Department of Urology, Provincial Hospital Affiliated to Shandong First Medical University, Shandong First Medical University, Jinan, ChinaDepartment of Urology, Provincial Hospital Affiliated to Shandong First Medical University, Shandong First Medical University, Jinan, ChinaDepartment of Urology, Shandong Provincial Hospital, Shandong University School of Medicine, Jinan, ChinaDepartment of Pathology, Shandong Provincial Hospital, Shandong University School of Medicine, Jinan, ChinaDepartment of Urology, Shandong Provincial Hospital, Shandong University School of Medicine, Jinan, ChinaDepartment of Urology, Provincial Hospital Affiliated to Shandong First Medical University, Shandong First Medical University, Jinan, ChinaDepartment of Urology, Shandong Provincial Hospital, Shandong University School of Medicine, Jinan, ChinaDepartment of Urology, Provincial Hospital Affiliated to Shandong First Medical University, Shandong First Medical University, Jinan, ChinaDepartment of Urology, Shandong Provincial Hospital, Shandong University School of Medicine, Jinan, ChinaDepartment of Urology, Provincial Hospital Affiliated to Shandong First Medical University, Shandong First Medical University, Jinan, ChinaDepartment of Urology, Provincial Hospital Affiliated to Shandong First Medical University, Shandong First Medical University, Jinan, ChinaDepartment of Urology, Shandong Provincial Hospital, Shandong University School of Medicine, Jinan, ChinaSarcomatoid urothelial carcinoma (SUC), a rare tumor of the urinary tract epithelium, exhibits a high degree of malignancy and therefore a poor prognosis. Due to the absence of specific clinical presentations and imaging findings, SUC of the renal pelvis masquerades as a renal abscess is frequently under-recognized or misdiagnosed as benign inflammatory disease, resulting in delayed or erroneous treatment. Here, we report a patient with SUC of the renal pelvis who presented with a renal abscess. Repeated anti-inflammatory treatment was ineffective. Unexpectedly, cancerous cells were detected in subsequent exfoliative cytology of nephrostomy drainage fluid. In accordance with this, radical surgery and postoperative chemotherapy were conducted. Fortunately, neither recurrence nor metastasis occurred during a one-year follow-up.https://www.frontiersin.org/articles/10.3389/fonc.2023.1055229/fullmisdiagnosisrare diseaserenal pelvisrenal abscesssarcomatoid urothelial carcinoma |
| spellingShingle | Yaru Chu Hao Ning Hao Ning Ke Yin Tong Chen Haihu Wu Haihu Wu Delin Wang Feifan Liu Zhenlin Zhao Jiaju Lv Jiaju Lv Case report: Sarcomatoid urothelial carcinoma of the renal pelvis masquerading as a renal abscess Frontiers in Oncology misdiagnosis rare disease renal pelvis renal abscess sarcomatoid urothelial carcinoma |
| title | Case report: Sarcomatoid urothelial carcinoma of the renal pelvis masquerading as a renal abscess |
| title_full | Case report: Sarcomatoid urothelial carcinoma of the renal pelvis masquerading as a renal abscess |
| title_fullStr | Case report: Sarcomatoid urothelial carcinoma of the renal pelvis masquerading as a renal abscess |
| title_full_unstemmed | Case report: Sarcomatoid urothelial carcinoma of the renal pelvis masquerading as a renal abscess |
| title_short | Case report: Sarcomatoid urothelial carcinoma of the renal pelvis masquerading as a renal abscess |
| title_sort | case report sarcomatoid urothelial carcinoma of the renal pelvis masquerading as a renal abscess |
| topic | misdiagnosis rare disease renal pelvis renal abscess sarcomatoid urothelial carcinoma |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1055229/full |
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