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Year : 2017  |  Volume : 2  |  Issue : 2  |  Page : 115-117

Incidental upper tract urothelial carcinoma presenting as pyonephrosis

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
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Source of Support: None, Conflict of Interest: None

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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