Mucinous Cystadenocarcinoma in a Horse Shoe Kidney Masquerading as Giant Hydronephrosis – A Case Report: Diagnostic Challenges, Lessons Learnt and Review of Literature
Primary epithelial tumour of the renal pelvis is a rare entity. So far, very few cases are reported in literature. Of these, mucin secreting adenocarcinomas are distinctly rare. However, mucinous cystadenocarcinoma, that too arising in a horse shoe kidney is extremely rare to be reported. Mucinous...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2016-11-01
|
Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/8834/22057_CE(RA1)_F(T)_PF1(PC_RK)_PFA(NC_AK)_PF2(PAG).pdf |
id |
doaj-95cac312e9ca4995ae8cb122482e74af |
---|---|
record_format |
Article |
spelling |
doaj-95cac312e9ca4995ae8cb122482e74af2020-11-25T03:37:50ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-11-011011PD12PD1410.7860/JCDR/2016/22057.8834Mucinous Cystadenocarcinoma in a Horse Shoe Kidney Masquerading as Giant Hydronephrosis – A Case Report: Diagnostic Challenges, Lessons Learnt and Review of LiteratureLeena Dennis Joseph0Sriram Krishnamoorthy1Rajendiran Swaminathan2Gokul Kripesh3Hariharasudhan Sekar4Professor, Department of Pathology, Sri Ramachandra Medical College, Porur, Chennai, India. Professor, Department of Urology, Sri Ramachandra Medical College, Porur, Chennai, India.Professor, Department of Pathology, Sri Ramachandra Medical College, Porur, Chennai, India.Postgraduate Student, Department of Pathology, Sri Ramachandra Medical College, Porur, Chennai, India.Assistant Professor, Department of Urology, Sri Ramachandra Medical College, Porur, Chennai, India.Primary epithelial tumour of the renal pelvis is a rare entity. So far, very few cases are reported in literature. Of these, mucin secreting adenocarcinomas are distinctly rare. However, mucinous cystadenocarcinoma, that too arising in a horse shoe kidney is extremely rare to be reported. Mucinous cystadenomas and carcinomas arising from the renal pelvis are regarded to be secondary to a metaplastic change in the urothelium. Here, we present a case of a 51-year-old male, who complained of abdominal pain, palpable abdominal mass, haematuria along with passage of mucoid material in the urine, with a very poorly functioning kidney. A pre-operative diagnosis of horse shoe kidney with pelvi ureteric junction obstruction and a poorly functioning kidney was made. Intraoperative findings and frozen section biopsy were suggestive of mucin secreting cystic mass and a right heminephrectomy was done. The final histopathology was suggestive of mucinous cystadenocarcinoma of the renal pelvis of the right moiety. This case is presented for its rarity, diagnostic challenges faced and the lessons learnt, stressing on the need for having a high index of clinical suspicion in making such diagnosis.https://jcdr.net/articles/PDF/8834/22057_CE(RA1)_F(T)_PF1(PC_RK)_PFA(NC_AK)_PF2(PAG).pdfhaematuriaheminephrectomyprimary epithelial tumour |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Leena Dennis Joseph Sriram Krishnamoorthy Rajendiran Swaminathan Gokul Kripesh Hariharasudhan Sekar |
spellingShingle |
Leena Dennis Joseph Sriram Krishnamoorthy Rajendiran Swaminathan Gokul Kripesh Hariharasudhan Sekar Mucinous Cystadenocarcinoma in a Horse Shoe Kidney Masquerading as Giant Hydronephrosis – A Case Report: Diagnostic Challenges, Lessons Learnt and Review of Literature Journal of Clinical and Diagnostic Research haematuria heminephrectomy primary epithelial tumour |
author_facet |
Leena Dennis Joseph Sriram Krishnamoorthy Rajendiran Swaminathan Gokul Kripesh Hariharasudhan Sekar |
author_sort |
Leena Dennis Joseph |
title |
Mucinous Cystadenocarcinoma in a Horse Shoe Kidney Masquerading as Giant Hydronephrosis – A Case Report: Diagnostic Challenges, Lessons Learnt and Review of Literature |
title_short |
Mucinous Cystadenocarcinoma in a Horse Shoe Kidney Masquerading as Giant Hydronephrosis – A Case Report: Diagnostic Challenges, Lessons Learnt and Review of Literature |
title_full |
Mucinous Cystadenocarcinoma in a Horse Shoe Kidney Masquerading as Giant Hydronephrosis – A Case Report: Diagnostic Challenges, Lessons Learnt and Review of Literature |
title_fullStr |
Mucinous Cystadenocarcinoma in a Horse Shoe Kidney Masquerading as Giant Hydronephrosis – A Case Report: Diagnostic Challenges, Lessons Learnt and Review of Literature |
title_full_unstemmed |
Mucinous Cystadenocarcinoma in a Horse Shoe Kidney Masquerading as Giant Hydronephrosis – A Case Report: Diagnostic Challenges, Lessons Learnt and Review of Literature |
title_sort |
mucinous cystadenocarcinoma in a horse shoe kidney masquerading as giant hydronephrosis – a case report: diagnostic challenges, lessons learnt and review of literature |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2016-11-01 |
description |
Primary epithelial tumour of the renal pelvis is a rare entity. So far, very few cases are reported in literature. Of these, mucin secreting
adenocarcinomas are distinctly rare. However, mucinous cystadenocarcinoma, that too arising in a horse shoe kidney is extremely rare
to be reported. Mucinous cystadenomas and carcinomas arising from the renal pelvis are regarded to be secondary to a metaplastic
change in the urothelium. Here, we present a case of a 51-year-old male, who complained of abdominal pain, palpable abdominal mass,
haematuria along with passage of mucoid material in the urine, with a very poorly functioning kidney. A pre-operative diagnosis of horse
shoe kidney with pelvi ureteric junction obstruction and a poorly functioning kidney was made. Intraoperative findings and frozen section
biopsy were suggestive of mucin secreting cystic mass and a right heminephrectomy was done. The final histopathology was suggestive
of mucinous cystadenocarcinoma of the renal pelvis of the right moiety. This case is presented for its rarity, diagnostic challenges faced
and the lessons learnt, stressing on the need for having a high index of clinical suspicion in making such diagnosis. |
topic |
haematuria heminephrectomy primary epithelial tumour |
url |
https://jcdr.net/articles/PDF/8834/22057_CE(RA1)_F(T)_PF1(PC_RK)_PFA(NC_AK)_PF2(PAG).pdf |
work_keys_str_mv |
AT leenadennisjoseph mucinouscystadenocarcinomainahorseshoekidneymasqueradingasgianthydronephrosisacasereportdiagnosticchallengeslessonslearntandreviewofliterature AT sriramkrishnamoorthy mucinouscystadenocarcinomainahorseshoekidneymasqueradingasgianthydronephrosisacasereportdiagnosticchallengeslessonslearntandreviewofliterature AT rajendiranswaminathan mucinouscystadenocarcinomainahorseshoekidneymasqueradingasgianthydronephrosisacasereportdiagnosticchallengeslessonslearntandreviewofliterature AT gokulkripesh mucinouscystadenocarcinomainahorseshoekidneymasqueradingasgianthydronephrosisacasereportdiagnosticchallengeslessonslearntandreviewofliterature AT hariharasudhansekar mucinouscystadenocarcinomainahorseshoekidneymasqueradingasgianthydronephrosisacasereportdiagnosticchallengeslessonslearntandreviewofliterature |
_version_ |
1724543564606603264 |