| CASE REPORT |
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| Year : 2017 | Volume
: 2
| Issue : 2 | Page : 115-117 |
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Incidental upper tract urothelial carcinoma presenting as pyonephrosis
K Manjula, Geethanjali Nagaraj, Krishna Shetty, CSBR Prasad
Departments of Pathology and Urology, Sri Devaraj Urs Medical College, Kolar, Karnataka, India
Correspondence Address:
Dr. K Manjula
Sri Devaraj Urs Medical College, Tamaka, Kolar - 563 101, Karnataka
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/bjhs.bjhs_2_17
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Upper tract urothelial carcinomas (UTUCs) are uncommon and account for only 5%–10% of urothelial carcinomas. The most common symptom of UTUC is gross or microscopic hematuria (70%–80%). A 55-year-old woman admitted with the history of fever and pain in abdomen for the past 20 days. Her history was not significant. She underwent right nephroureterectomy with the provisional clinical diagnosis of pyonephrosis with nonfunctioning kidney. Histopathological examination of nephrectomy specimen showed features of high-grade urothelial carcinoma with renal parenchyma invasion (T3N0M0). Here, we present a rare case of incidental UTUC presenting as pyonephrosis.
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