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Case Reports in Oncological Medicine
Volume 2012 (2012), Article ID 350916, 4 pages
http://dx.doi.org/10.1155/2012/350916
Case Report

Pelvic Nephroureterectomy for Renal Cell Carcinoma in an Ectopic Kidney

1Atlanta Veterans Affairs Medical Center, 1670 Clairmont Road NE, Decatur, GA 30033, USA
2Department of Urology, Emory University School of Medicine, Clinic B, 1365 Clifton Road, Atlanta, GA 30322, USA
3Department of Pathology and Laboratory Medicine, Emory University, Atlanta, GA 30322, USA
4Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA

Received 31 July 2012; Accepted 26 September 2012

Academic Editors: C. Gennatas, E. Itakura, and Y. Niibe

Copyright © 2012 Kevin G. Baldie et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a case of an ectopic renal tumor in a 61-year-old morbidly obese man with a pelvic kidney found after presenting with hematuria and irritative voiding symptoms. The mass, along with the ectopic kidney and ureter, was radically resected through an open operation that involved removing both them and the renal vessels from the underlying iliac vessels. Pathological analysis demonstrated an 8.3 cm papillary renal cell carcinoma (RCC) with oncocytic features, Fuhrman nuclear grade 3, with angiolymphatic invasion and negative margins. The patient has been recurrence-free for over four years since tumor resection.