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  • Title: Primary mucinous adenocarcinoma of the renal pelvis and ureter.
    Author: Sidharth, Maskey P, Chalise PR, Shrestha A, Sharma UK, Gyawali PR, Shrestha GK, Joshi BR.
    Journal: Nepal Med Coll J; 2011 Sep; 13(3):229-30. PubMed ID: 22808823.
    Abstract:
    Mucinous adenocarcinomas of the renal pelvis and ureter are among the rarest upper urinary tract neoplasm. We report a case of multifocal primary mucinous adenocarcinoma of the renal pelvis and ureter occurring in association with a staghorn calculus and pyonephrosis. A 68 year old man had suffered from right flank pain and upper abdominal swelling for one year. After a series of investigation, a right staghorn stone with pyonephrosis leading to non-functioning kidney was found. Right nephrectomy was performed. The pathological report showed mucinous adenocarcinoma with ureteric margin positive for tumour deposits. Patient was reoperated; right ureterectomy with removal of bladder cuff was done. Although uncommon, the possibility of a tumor should be kept in mind especially in patients with a long standing urolithiasis accompanied by hydronephrosis and/or infection.
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