Presentation
Macroscopic haematuria.
Patient Data
Soft tissue mass (mean density on non-enhanced CT = 25 UH) with foci of calcification filling the upper pole calyces with mild enhancement on the portal phase and filling defect on the excretory phase.
No abdominal lymphadenopathy or distant metastasis.
Small diverticulum of the urinary bladder.
Atherosclerotic changes of abdominal aorta with a left gastric artery arising directly from abdominal aorta and compressed by thickened median arcuate ligament.
Vertebral osteoporosis with compression-fracture of L2 and L3 vertebral bodies.
Case Discussion
CT features of mildly enhancing soft tissue mass of the upper pole calyces, pathology proven as Transitional cell carcinoma (TCC).
Transitional cell carcinoma (TCC), also called urothelial cell carcinoma (UCC), is the most common primary malignancy of the urinary tract and may be found along its entire length, from the renal pelvis to the bladder.
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