Metastatic cancer to the renal pelvis: A novel approach to management Journal Article


Authors: Milbank, A. J.; Savage, S. J.; Angermeier, K. W.; Ng, C. S.; Streem, S. B.
Article Title: Metastatic cancer to the renal pelvis: A novel approach to management
Abstract: We describe a novel application of percutaneous renal surgery for the management of an unusual and challenging urologic problem. Two patients with symptomatic, metastatic adenocarcinoma in the renal pelvis were treated with percutaneous resection. The lesion was in a solitary kidney in 1 patient, and was bilateral in the second. Percutaneous resection resulted in complete relief of symptoms and obstruction. Although both patients ultimately died of their primary disease, their quality of life was significantly improved in the interim. Percutaneous resection of renal pelvic tumors is accepted management for select patients with upper tract transitional cell carcinoma. These 2 cases demonstrated both an unusual presentation for metastatic adenocarcinoma and an expanded application for percutaneous renal surgery. © 2004 Elsevier Inc.
Keywords: aged; bone neoplasms; cancer surgery; surgical technique; clinical feature; disease course; anamnesis; case report; postoperative period; cancer adjuvant therapy; cancer patient; cancer radiotherapy; combined modality therapy; cancer diagnosis; adenocarcinoma; palliative care; quality of life; antineoplastic combined chemotherapy protocols; lung neoplasms; colonic neoplasms; hematuria; kidney carcinoma; kidney neoplasms; nephrectomy; cancer mortality; symptom; carcinoma, renal cell; kidney surgery; laboratory test; nephrostomy; liver disease; cystoscopy; orchiectomy; ureter; kidney pelvis; fatal outcome; endoscopy; kidney metastasis; kidney pelvis cancer; digestive system neoplasms; adrenal gland neoplasms; case management; nephrostomy, percutaneous; urinary tract disease; choledocholithiasis; humans; human; male; priority journal; article; common bile duct stone
Journal Title: Urology
Volume: 64
Issue: 4
ISSN: 0090-4295
Publisher: Elsevier Science, Inc.  
Date Published: 2004-10-01
Start Page: 807.e8
End Page: 807.e10
Language: English
DOI: 10.1016/j.urology.2004.05.040
PROVIDER: scopus
PUBMED: 15491731
DOI/URL:
Notes: Urology -- Cited By (since 1996):2 -- Export Date: 16 June 2014 -- CODEN: URGYA -- Source: Scopus
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  1. Stephen J. Savage
    7 Savage
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