Primary adenocarcinoma of the renal pelvis, ureter and the urinary bladder: A case report and review of the literature

Xiong,Xing; Jia,Linghua; Wang,Jingen

doi:10.3892/ol.2016.4151

Primary adenocarcinoma of the renal pelvis, ureter and the urinary bladder: A case report and review of the literature

Authors:
- Xing Xiong
- Linghua Jia
- Jingen Wang
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Affiliations: Department of Urology, Jiangxi Provincial People's Hospital, Nanchang, Jiangxi 330006, P.R. China
Published online on: January 26, 2016 https://doi.org/10.3892/ol.2016.4151
Pages: 1811-1814

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Abstract

Primary adenocarcinoma is a rare type of urological neoplasm. The present study reports the case of a 55‑year‑old man with multifocal adenocarcinoma of the renal pelvis, ureter and urinary bladder that occurred in association with a large cystic calculus and perinephric abscess. The patient had suffered from gross hematuria for 2 years and right flank pain for 2 months. Following a series of investigations, a large cystic calculus with multiple tumors in the renal pelvis and ureter was identified. Multifocal tumors and a large calculus were located in the bladder using a cystoscope. The pathological report of 3 individual biopsies revealed a moderately differentiated tubular adenocarcinoma. Right nephrectomy, ureterectomy, radical cystectomy and left ureterocutaneostomy were performed. The pathological investigation revealed a moderately differentiated adenocarcinoma of the renal pelvis, ureter and urinary bladder. No additional treatment was administered and the patient remains alive at follow‑up without disease recurrence or metastasis. Although uncommon, the development of a tumor is possible in patients that possess long‑standing urolithiasis, particularly when accompanied by hydronephrosis or infection.

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