case_images: PMC3914127_01
case_images: (a) Abdominal echography, showing right-sided unilateral hydronephrosis. (b) Abdominal computed tomography with contrast, showing an enhanced mass in the right renal pelvis (arrow) in association with pelvic dilatation and slight thinning of renal cortex.
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case_images: PMC3914127_01_CRIM.NEPHROLOGY2011-373480.001.jpg
case_images: fig1
case_images: Abdominal echography showed right-sided unilateral hydronephrosis (Figure 1(a)), and abdominal computed tomography with contrast media pointed out a mass in the right renal pelvis in association with pelvic dilatation and slight thinning of renal cortex (Figure 1(b)), strongly suggesting cancer of renal pelvis.
case_images: Crosssection photograph of the removed right kidney specimen, showing a tumor of 9 x 6 cm in size in renal pelvis.
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case_images: PMC3914127_01_CRIM.NEPHROLOGY2011-373480.002.jpg
case_images: fig2
case_images: The right kidney was totally nephroureterectomized (Figure 2) on 29th February, 2008.
case_images: (a) Light microscopic photography, showing slightly ischemic change of glomerulus, tubular atrophy, mononuclear cell infiltration, and interstitial fibrosis (mathon-trichrome staining, x200). (b) Electron micrograph of glomerulus, showing almost intact morphology without electron dense deposit. C: capillary lumen, M: mesangium.
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case_images: PMC3914127_01_CRIM.NEPHROLOGY2011-373480.003.jpg
case_images: fig3
case_images: Renal histological examination revealed slightly ischemic change of glomeruli without apparent glomerulopathy in association with tubular atrophy and interstitial fibrosis with mildly-to-moderately mononuclear cell infiltration in 60% of cortical areas (Figure 3(a)). Immunofluorescence study showed no deposition of immunoreactanct in the renal tissue and electron microscopy showed almost intact glomerulus without electron dense deposits (Figure 3(b)).
case_images: Clinical course of the patient.
case_images: CRIM.NEPHROLOGY2011-373480.004.jpg
case_images: PMC3914127_01_CRIM.NEPHROLOGY2011-373480.004.jpg
case_images: fig4