Fernández-Pello Sergio, Venta Victoria, González Iván, Gil Rodrigo, Menéndez Carmen Luz
Sergio Fernández-Pello, Iván González, Rodrigo Gil, Department of Urology, Cabueñes Hospital, 33394 Gijón, Spain.
World J Clin Cases. 2014 Jun 16;2(6):215-8. doi: 10.12998/wjcc.v2.i6.215.
We report the case of an urgent nephrectomy because of a pyonephrosis and sepsis due to an unsuspected sarcomatoid transitional cell carcinoma, an infrequent subtype with a bad oncological prognosis. We present a 58-year-old man assessed by internal medicine for a general syndrome and weakness many months previously. A pyonephrotic kidney was observed at abdominal computed tomography in the context of septic shock, without suspecting the underlying cause. The pathology report described a sarcomatoid transitional cell carcinoma. Sarcomatoid transitional cell carcinoma is an invasive and infrequent subtype of urothelial tumors. The symptoms are often the same as other renal masses; however, in this case, sepsis and pyonephrosis were the rare initial symptoms.
我们报告了一例因肾盂积脓和败血症而行急诊肾切除术的病例，病因是未被怀疑的肉瘤样移行细胞癌，这是一种罕见的亚型，肿瘤学预后不良。我们介绍一名58岁男性，数月前因全身综合征和虚弱接受内科评估。在感染性休克的情况下，腹部计算机断层扫描发现一个肾盂积脓的肾脏，未怀疑其潜在病因。病理报告描述为肉瘤样移行细胞癌。肉瘤样移行细胞癌是尿路上皮肿瘤的一种侵袭性且罕见的亚型。其症状通常与其他肾肿块相同；然而，在本病例中，败血症和肾盂积脓是罕见的初始症状。
