Clear Cell Adenocarcinoma of the Renal Pelvis in a Male Patient

Carcinoma of the renal pelvis is an uncommon renal neoplasm. Clear cell adenocarcinoma in the urinary tract is rare and has a histomorphology resembling that of the female genital tract. We herein present a case of clear cell adenocarcinoma of the renal pelvis, which is the first example in a male p...

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Main Authors: Sarawut Kongkarnka, Pruit Kitirattakarn, Hironori Katayama, Surapan Khunamornpong
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2013/494912
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author Sarawut Kongkarnka
Pruit Kitirattakarn
Hironori Katayama
Surapan Khunamornpong
author_facet Sarawut Kongkarnka
Pruit Kitirattakarn
Hironori Katayama
Surapan Khunamornpong
author_sort Sarawut Kongkarnka
collection DOAJ
description Carcinoma of the renal pelvis is an uncommon renal neoplasm. Clear cell adenocarcinoma in the urinary tract is rare and has a histomorphology resembling that of the female genital tract. We herein present a case of clear cell adenocarcinoma of the renal pelvis, which is the first example in a male patient to our knowledge. A 54-year-old man presented with right flank pain. The tumor was associated with renal stones and hydronephrosis and invaded into the peripelvic fat tissue with regional lymph node metastasis. The patient died of metastatic disease six months postoperatively. Histologically, the tumor showed complex papillary architecture lined with clear and hobnail cells. Clear cell adenocarcinoma of the renal pelvis may pose a diagnostic challenge on histological grounds, particularly in the distinction from renal cell carcinoma. The immunohistochemical stains could help confirm the diagnosis. Due to its rarity, an effective treatment regimen remains to be determined.
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institution Kabale University
issn 2090-6781
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publishDate 2013-01-01
publisher Wiley
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series Case Reports in Pathology
spelling doaj-art-3fecebbee36b44219eea76dd97304ae82025-02-03T01:33:12ZengWileyCase Reports in Pathology2090-67812090-679X2013-01-01201310.1155/2013/494912494912Clear Cell Adenocarcinoma of the Renal Pelvis in a Male PatientSarawut Kongkarnka0Pruit Kitirattakarn1Hironori Katayama2Surapan Khunamornpong3Department of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, ThailandDepartment of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, ThailandDepartment of Pathology, Nippon Medical School, Tama-Nagayama Hospital, Tokyo 206-8512, JapanDepartment of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, ThailandCarcinoma of the renal pelvis is an uncommon renal neoplasm. Clear cell adenocarcinoma in the urinary tract is rare and has a histomorphology resembling that of the female genital tract. We herein present a case of clear cell adenocarcinoma of the renal pelvis, which is the first example in a male patient to our knowledge. A 54-year-old man presented with right flank pain. The tumor was associated with renal stones and hydronephrosis and invaded into the peripelvic fat tissue with regional lymph node metastasis. The patient died of metastatic disease six months postoperatively. Histologically, the tumor showed complex papillary architecture lined with clear and hobnail cells. Clear cell adenocarcinoma of the renal pelvis may pose a diagnostic challenge on histological grounds, particularly in the distinction from renal cell carcinoma. The immunohistochemical stains could help confirm the diagnosis. Due to its rarity, an effective treatment regimen remains to be determined.http://dx.doi.org/10.1155/2013/494912
spellingShingle Sarawut Kongkarnka
Pruit Kitirattakarn
Hironori Katayama
Surapan Khunamornpong
Clear Cell Adenocarcinoma of the Renal Pelvis in a Male Patient
Case Reports in Pathology
title Clear Cell Adenocarcinoma of the Renal Pelvis in a Male Patient
title_full Clear Cell Adenocarcinoma of the Renal Pelvis in a Male Patient
title_fullStr Clear Cell Adenocarcinoma of the Renal Pelvis in a Male Patient
title_full_unstemmed Clear Cell Adenocarcinoma of the Renal Pelvis in a Male Patient
title_short Clear Cell Adenocarcinoma of the Renal Pelvis in a Male Patient
title_sort clear cell adenocarcinoma of the renal pelvis in a male patient
url http://dx.doi.org/10.1155/2013/494912
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AT pruitkitirattakarn clearcelladenocarcinomaoftherenalpelvisinamalepatient
AT hironorikatayama clearcelladenocarcinomaoftherenalpelvisinamalepatient
AT surapankhunamornpong clearcelladenocarcinomaoftherenalpelvisinamalepatient