Case Presentation

1
Case Presentation

• 55 y/o otherwise healthy male smoker presented to
  an outside ER with flank pain and hematuria.
• IVP revealed large filling defect but no
  hydronephrosis
• Cystoscopy is normal but urine cytology shows
  malignant transitional cell epithelium
• CT scan reveals large renal mass

Nicolls
2

• Bone scan, Chest x-ray negative
• Creatinine 0.9
• PET Scan
• Confirms renal mass with solitary nodal
  metastasis

Nicolls
3

• Nephroureterectomy and node dissection performed
  revealing transitional cell carcinoma

Node
Renal Mass (kidney bivalved)
Nicolls
4

• Patient underwent 3 cycles of CMV chemotherapy
• No evidence of disease 2 years later

Nicolls