CASE 360: RIGHT KIDNEY TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Man 38yo 2 years ago  intermittent  hematuria, today  acute right renal colicky pain. 

Ultrasound in emergency detected big right kidney and fluid collection arround  kidney.

Pelvic kidney  has a collected  hyperechoic mass which made  dilated ureter.

CDI ultrasound detected  no Doppler signal in  vascular renal cortex ( US 2)

MSCT with CE=CT1: frontal view=  right kidney  too big without contrast  supplying.

CT 2: frontal view, pelvis of right kidney  is covered by enhanced contrast mass  just to dilated ureter. 

CT3, CT 4: cross- sectional view: pelvis and ureter detected  intralumen  one enhanced  contrast structure  liked  a tumor.

CT 6: 3D vascular view= no vascular supplying to right kidney.

Report  by radiologist  is  bleeding intra  right urinary system with  ureter obstruction  by  tumor, suspected  TCC.(TRANSITIONAL CELL CARCINOMA)

Emergency operation  of right nephrectomy and  ureterectomy.

Macroscopic specimen showed  tumor in obstruction of distal ureter.

Microscopic report TCC  ( transitional cell carcinoma hight grade malignancy.