Académique Documents
Professionnel Documents
Culture Documents
World Health Organization Classification of Tumors. Pathology and Genetics of Tumours of the Urinary System and Male
Genital Organs, 9, 150. 69008 Lyon, France: International Agency for Research on Cancer (IARC) (2004).
Background of the Case
• Neoplasm in the renal pelvis and ureter
• transitional cell carcinoma of 85-90%,
• squamous cell carcinoma of 10-15 %
• adenocarcinoma of less than 1 %
• tubulovillous
• papillary non-intestinal categories
• signet ring type
• mucinous
• benign mucinous cystadenoma,
• mucinous borderline tumor and
• mucinous cystadenocarcinoma
Primary mucinous adenocarcinoma of the renal pelvis with carcinoma in situ in the ureter. Journal of the egyptian national cancer institute
(2013)
Rosai and Ackerman's Surgical Pathology, 10th Edition. Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto: Elsevier Inc.,
Volume 1, Chapter 17, 1274 (2011)
Background of the Case
• 2 published journals in 2009: 5 benign, 3 borderline and 4 – 5
malignant cases
Pseudomyxoma Peritonei Associated with Primary Mucinous Borderline Tumor of the Renal Pelvicalyceal System. Arch Pathol Lab Med, 1472-1476 (2009).
Primary Mucinous Cystadenocarcinoma of Renal Pelvis: A Case Report. BioMed Central Ltd (2009).
Primary Mucinous Cystadenocarcinoma of the renal pelvis misdiagnosed as ureteropelvic junction stenosis with renal pelvis stone: A Case Reporrt and
Literature Review. World Journal of Surgical Oncology (2015).
Primary Adenocarcinoma of the Renal Pelvis, Ureter and the Urinary Bladder: A case report and review of the literature. Oncology Letters (2015).
This paper herein presents the
only reported case of
Primary Borderline Muinous Tumor of the Renal
Pelvocalyceal Area and Ureter in Baguio General Hospital
and Medical Center
The Case
• P.B.
• 53 year old male
• Filipino, Roman Catholic
• Born on January 28, 1963 in Urdaneta City, Pangasinan
• Admitted for the first time in this institution with a chief complaint of
palpable abdominal mass on the left upper quadrant
HPI
• 5 months PTC
• Dysuria without other associated symptoms
• Treat as UTI (Co-amoxiclav and Sambong)
• Interval History
• Persistence of dysuria
• 5 days PTC
• Palpable abdominal mass on left upper quadrant
• Left flank pain radiating to the left lower quadrant
• Dysuria
• Consult to local hospital (ultrasound)
• OPD BGH-MC ----Admission
PMH
• Hypertension for 10 years
• Maintenance medication: Amlodipine 10 mg OD
• Others: unremarkable
Physical Exam
• Pertinent Abdominal Findings:
• globular abdomen, non-distended, with normoactive bowel sounds, no direct
and rebound tenderness. A palpable mass at the left upper quadrant was
noted which was firm, non-movable and dull on percussion
• As this tumor is not part of the WHO classification, guidelines are yet
to be established. This makes it prudent that all cases be reported for
future classification and establishment of guidelines.