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Case Reports in Urology
Volume 2011 (2011), Article ID 832673, 3 pages
http://dx.doi.org/10.1155/2011/832673
Case Report

Synchronous Renal Malignancy Presenting as Recurrent Urinary Tract Infections

1Department of Internal Medicine, Lutheran Medical Center, Brooklyn, NY 11220, USA
2Department of Urology, Lutheran Medical Center, Brooklyn, NY 11220, USA
3Department of Pathology, Lutheran Medical Center, Brooklyn, NY 11220, USA
4Christian Medical College, Ludhiana, India

Received 21 June 2011; Accepted 16 July 2011

Academic Editors: T. Cai, M. Saito, and S. Srinivas

Copyright © 2011 G. Dutta 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

Renal cell carcinoma (RCC) and urothelial carcinoma of the upper urinary tract are not uncommon urological malignancies. Their simultaneous occurrence in a patient is, however, extraordinarily rare. We report the case of a patient who underwent unilateral nephrectomy for suspected RCC and diagnosed transitional cell carcinoma of the superior pelvis. Preoperative imaging was suspicious for renal pelvic involvement, which was confirmed upon performing cystoscopy and biopsy of the suspected lesion preoperatively. This preoperative approach was especially appropriate as a nephron saving procedure was being considered prior to the discovery of the synchronous lesion. We discuss this rare simultaneous occurrence of synchronous malignancies in the same kidney.