Essential role of using virtual pyeloscopy in the diagnosis of small satellite renal pelvic tumour in solitary kidney patient
DOI:
https://doi.org/10.5489/cuaj.27Abstract
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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