Late upper urinary tract urothelial carcinoma following radical cystectomy, presenting as page kidney

doi:10.1016/j.ajur.2021.02.003

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Abstract: We are describing a rare case presenting with page phenomenon, 9 years post radical cystectomy for muscle invasive bladder cancer. Page kidney was developed secondary to a late recurrent urothelial tumour in the left renal pelvis.
Our case is a fifty-seven-year-old gentleman presented with poorly controlled hypertension and left dull aching loin pain. His blood pressure (BP) was 180/80 mmHg at diagnosis and was down to 150/80 mmHg using angiotensin converting enzyme (ACE) inhibitor and beta blocker medications. He underwent a radical cystectomy (RC) and ileal conduit urinary diversion 9 years ago. Pathology of his cystectomy specimen was localized urothelial carcinoma with negative resection margin and negative lymph nodes (T2N0M0). Examination showed a palpable mobile mass in the left hypochondrium. Computed tomography (CT) clearly showed an enhanced mass occupying the left renal pelvis, small left kidney with large subcapsular collection surrounding the kidney measuring 21 cm×11 cm×10 cm (Fig. 1). His kidney function was normal. The diagnosis of page kidney was done based on radiological findings. Renal vein renin was not tested.

收稿日期: 2020-08-17 出版日期: 2021-10-20 发布日期: 2021-11-08 整期出版日期: 2021-10-20

引用本文:

. [J]. Asian Journal of Urology, 2021, 8(4): 442-443.
Asmaa Ismail, Hazem Elmansy, Walid Shahrour, Owen Prowse, Ahmed Kotb. Late upper urinary tract urothelial carcinoma following radical cystectomy, presenting as page kidney. Asian Journal of Urology, 2021, 8(4): 442-443.

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http://www.ajurology.com/CN/10.1016/j.ajur.2021.02.003 或 http://www.ajurology.com/CN/Y2021/V8/I4/442

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