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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 346:1309-1317 April 25, 2002 Number 17
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Case 13-2002 — A 43-Year-Old Man with Renal Carcinoma and Worsening Dyspnea
Deborah H. Markowitz, and Eugene J. Mark

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Presentation of Case

A 43-year-old man was admitted to the hospital because of hemoptysis and dyspnea.

The patient had been well until 28 months earlier, when pain in the right flank and hematuria developed. Cytologic examination of the urine showed malignant tumor cells. An intravenous urographic study revealed a tumor in the right ureter and renal pelvis. A computed tomographic (CT) scan of the abdomen disclosed no evidence of metastatic disease. A right nephroureterectomy was performed, with a finding of grade 3 (poorly differentiated), papillary transitional-cell carcinoma that involved the ureter and renal pelvis; the tumor was classified as stage T3, N0. A . . . [Full Text of this Article]

Differential Diagnosis

Metastatic Transitional-Cell Carcinoma

Pulmonary Embolic Disease

Drug Toxicity

Alveolar Hemorrhage

Idiopathic Pulmonary Syndromes

Opportunistic Infections

Clinical Diagnoses

Dr. Deborah H. Markowitz's Diagnoses

Pathological Discussion

Anatomical Diagnosis

References




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