Infiltrating transitional cell carcinoma of the kidney treated by extended nephrectomy Masayasu Urushibara 1 , Yoshinobu Komai 1 , Shinji Morimoto 1 , Kunihiko Sakai 1 1Department of Urology,Tsuchiura Kyodo General Hospital pp.75-77
Published Date 2005/1/20
DOI https://doi.org/10.11477/mf.1413100170
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Sixty-three-year-old man,with grosshematuria of four months' duration,was referred to our department. Abdominal ultrasonography suggested right invasive renal pelvic tumor and abdominal CT showed swelling of the right kidney,but renal contour was distinct. MRI demonstrated the tumor invaded the perirenal tissue and attached to vena cava inferior(IVC). The extended surgery including nephroureterectomy and partial resection of IVC was done. Resected specimen showed the non-papillary tumor diffusely infiltrating the renal parenchyma. Microscopic investigation revealed TCC,G2. About a month after the operation,he underwent the second surgery for mechanical ileus associated with local recurrence. Thereafter,mental depression and development of intestinal cutaneous fistula allowed neither chemotherapy nor radiation. He died of the cancer six months after the first surgery.

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