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Year : 2021  |  Volume : 5  |  Issue : 3  |  Page : 119-122

Primary ureteral mucinous adenocarcinoma with xanthogranulomatous pyelonephritis masquerading as a giant renal mass

1 Department of Urology, Jupiter Hospital, Thane, Maharashtra, India
2 Department of Pathology, Jupiter Hospital, Thane, Maharashtra, India
3 Department of Nephrology, Jupiter Hospital, Thane, Maharashtra, India

Correspondence Address:
Ajay Shyam Kanbur
2/101 Wimbledon Park, Pokhran Road 1, Near Cadbury India, Thane - 400 606, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/oji.oji_53_20

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Primary ureteral carcinoma is rare among all urogenital malignancies, with transitional cell carcinoma being the most common histology followed by squamous cell carcinoma. Adenocarcinoma is extremely rare. Herein, we report a case of primary mucin secreting adenocarcinoma of the right lower ureter in a 67-year-old male. Contrast-enhanced computed tomography (CECT) scan showed a large cystic mass occupying the whole abdomen along with a mass in the lower third of the right ureter mimicking as a giant renal mass. Ureteroscopy followed by laparotomy including right nephroureterectomy with bladder cuff excision was performed. On histopathological examination, the CECT scan-based suspected giant renal mass revealed to be xanthogranulomatous pyelonephritis of the kidney along with primary mucin secreting adenocarcinoma of the ureter.

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