Essential role of using virtual pyeloscopy in the diagnosis of small satellite renal pelvic tumour in solitary kidney patient

Authors

  • Pal Bata Department of Radiology and Oncotherapy, Semmelweis University, Budapest
  • David Laszlo Tarnoki Department of Radiology and Oncotherapy, Semmelweis University, Budapest
  • Adam Domonkos Tarnoki Department of Radiology and Oncotherapy, Semmelweis University, Budapest
  • Zsolt Domjan Department of Urology, Péterfy Hospital, Budapest, Hungary
  • Istvan Buzogany Department of Urology, Péterfy Hospital, Budapest, Hungary
  • Viktor Berczi Department of Radiology and Oncotherapy, Semmelweis University, Budapest

DOI:

https://doi.org/10.5489/cuaj.27

Abstract

Virtual pyeloscopy (VP) plays an important role in the organ-sparing

nephroscopic tumour resection and traditional pole resection,

especially when a fibreoptic ureteroscopic examination cannot be

performed. A 67-year-old man developed macroscopic hematuria.

Abdominal computed tomography (CT) and cystoscopy revealed a

lower calix renal stone and a 20-mm lower pyelon mass suggesting

transitional cell cancer. An additional small satellite lesion in

the pelvico-ureteral junction was supposedly present. Three-phase

MultiDetector CT with VP showed a solitary 3 to 4-mm renal pelvic

lesion beyond the known calix stone and lower pole mass. In our

case, VP played an important role in the organ-sparing nephroscopic

tumour resection and traditional pole resection.

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Author Biographies

Pal Bata, Department of Radiology and Oncotherapy, Semmelweis University, Budapest

Department of Radiology and Oncotherapy, Semmelweis University, Budapest

David Laszlo Tarnoki, Department of Radiology and Oncotherapy, Semmelweis University, Budapest

Department of Radiology and Oncotherapy, Semmelweis University, Budapest

Adam Domonkos Tarnoki, Department of Radiology and Oncotherapy, Semmelweis University, Budapest

Department of Radiology and Oncotherapy, Semmelweis University, Budapest

Zsolt Domjan, Department of Urology, Péterfy Hospital, Budapest, Hungary

Department of Urology, Péterfy Hospital, Budapest, Hungary

Istvan Buzogany, Department of Urology, Péterfy Hospital, Budapest, Hungary

Department of Urology, Péterfy Hospital, Budapest, Hungary

Viktor Berczi, Department of Radiology and Oncotherapy, Semmelweis University, Budapest

Department of Radiology and Oncotherapy, Semmelweis University, Budapest

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Published

2012-12-10

How to Cite

Bata, P., Tarnoki, D. L., Tarnoki, A. D., Domjan, Z., Buzogany, I., & Berczi, V. (2012). Essential role of using virtual pyeloscopy in the diagnosis of small satellite renal pelvic tumour in solitary kidney patient. Canadian Urological Association Journal, 6(5). https://doi.org/10.5489/cuaj.27

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Section

Case Report