Abstract

VALLADARES VALLE, Masleidy; DIAZ YANES, Nery María; NUNEZ ALMOGUEA, Luciano  and  DEPESTRE RABI, Bárbara Miladis. Upper urinary excretory tract tumor. A case report. Medisur [online]. 2021, vol.19, n.3, pp.503-507.  Epub June 30, 2021. ISSN 1727-897X.

Upper urinary tract tumors represent less than 5% of all urothelial neoplasms, with a recurrence rate greater than 90% and a 5-year survival that ranges from 30-60%. Therefore a 79-years-old patient was admitted to the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos, with a medical history characterized by hematuria, without other symptoms. Through imaging studies, he was diagnosed with a tumor in the pelvis of the right kidney. Surgical treatment was performed and a total nephrectomy was performed, the histological result of which was a grade II transitional cell carcinoma with infiltration to the muscular planes. The clinical evolution was favorable one year after surgery. We conclude that tomographic images play a fundamental role in early diagnosis, since they allowed the identification of a tumor of the upper urinary excretory tract in the right renal pelvis. A therapeutic strategy was initially designed for surgery and then chemotherapy; a satisfactory evolution was achieved and contributes to the survival of this patient.

Keywords : urologic neoplasms; kidney neoplasms; kidney pelvis; early diagnosis.

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