Squamous Cell Carcinoma of Pelvicalyceal System Completely Replacing Renal Parenchyma - An Incidental Finding: A Case Report
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 9
Abstract
Staghorn calculi are seen in entire or part of the renal pelvicalyceal system. If untreated or inadequately treated, they may lead to complications like the deterioration of renal function. They also cause chronic irritation, inflammation, and infection leading to squamous metaplasia of the renal pelvis epithelium, which may progress to squamous cell carcinoma. Squamous cell carcinoma in renal pelvis is an uncommon and constitutes <1% of all urinary tract neoplasms. We are presenting a Case report of 45-year-old male came with complaints of flank pain and burning micturition, off and on for 5 months with no other significant medical or family history. The general and physical examination was within normal limits with derarranged kidney function tests. Ultrasonography of kidney ureter, and bladder showed left-sided Grade IV hydronephrosis due to obstructing staghorn calculus. Complete loss of corticomedullary architecture with large staghorn calculi. Renal parenchyma completely replaced by squamous cell carcinoma. Our case highlights the importance of keeping this diagnosis in the back of the mind in patients with chronic renal calculi with the non-functioning hydronephrotic kidney.
Authors and Affiliations
Vanita Bhaskar, Minal Wasnik, Dhananjay Prasad
Keywords
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