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Minerva Urologica e Nefrologica 1999 March;51(1):45-8

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Mucinous adenocarcinoma of the renal pelvis associated with renal staghorn calculosis

Kalafatis P., Zarifis I. **, Sotrillis T., Stefis A. *

Ospedale Generale - Rodi (Grecia) Clinica di Urologia * Servizio di Anatomia Patologica ** Fondazione di Assicurazioni Sociali IKA Reparto di Urologia


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A rare case of mucinous adenocarcinoma of the renal pelvis associated with renal staghorn calculosis in a 60-years-old male patient with pyuria and mucin content of the urine is presented. History was significant for recurrent calculosis of the left kidney. A non functioning hydronephrotic left kidney with staghorn calculosis was diagnosed. Laboratory tests were remarkable only for Carcinoembrionic Antigen (CEA). Pathology of the surgical speciment followed by its immunoreactivity revealed an intestinal type metaplasia and papillary, tubular and mucinous adenocarcinoma of the renal pelvis. Pathogenesis of the intestinal metaplasia and the role of chronic irritation of the urothelium are mentioned.

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