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Case Report 


Primary high-grade mucinous adenocarcinoma of the renal pelvis and ureter: A case report and systematic review

I Wayan Yudiana, Yusuf Alfi Mulia, Gede Wirya Kusuma Duarsa, Anak Agung Gede Oka, Kadek Budi Santosa.

Abstract
Introduction: Tumor of the renal pelvis was uncommon, as well as the primary mucinous adenocarcinoma of the upper urinary tract. This was aggressive cancer and had a poor prognosis compared with urothelial carcinoma.
Methods: This study presented a 55-year-old male with primary high-grade mucinous adenocarcinoma of the upper urinary tract. From the initial assessment until 8 months of follow up after surgery and adjuvant chemotherapy. A systematic review of the last 20-year-literatures was also performed. There were 32 case reports, with 34 cases reported worldwide.
Results: The majority of the subjects with primary mucinous adenocarcinoma were older male, presented with flank pain, and had a long history of urinary tract stone. The standard surgical modalities were radical nephrectomy, total ureterectomy, and bladder cuff excision. In most cases, only radical nephrectomy was carried out, because the histopathological results were obtained after surgery. The recurrence and distant metastases were widely reported.
Conclusion: The finding of primary mucinous adenocarcinoma of the upper urinary tract was rare and proven after the histopathological finding of the surgical specimen. The treatment modalities were approached with radical nephrectomy, total ureterectomy, followed by chemotherapies with or without radiotherapy.

Key words: mucinous adenocarcinoma, renal pelvis, ureter, nephrectomy


 
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How to Cite this Article
Pubmed Style

Yudiana IW, Mulia YA, Duarsa GWK, Oka AAG, Santosa KB. Primary high-grade mucinous adenocarcinoma of the renal pelvis and ureter: A case report and systematic review. Int J Med Rev Case Rep. 2020; 4(8): 1-7. doi:10.5455/IJMRCR.2020-06-234


Web Style

Yudiana IW, Mulia YA, Duarsa GWK, Oka AAG, Santosa KB. Primary high-grade mucinous adenocarcinoma of the renal pelvis and ureter: A case report and systematic review. http://www.mdpub.net/?mno=118386 [Access: November 03, 2020]. doi:10.5455/IJMRCR.2020-06-234


AMA (American Medical Association) Style

Yudiana IW, Mulia YA, Duarsa GWK, Oka AAG, Santosa KB. Primary high-grade mucinous adenocarcinoma of the renal pelvis and ureter: A case report and systematic review. Int J Med Rev Case Rep. 2020; 4(8): 1-7. doi:10.5455/IJMRCR.2020-06-234



Vancouver/ICMJE Style

Yudiana IW, Mulia YA, Duarsa GWK, Oka AAG, Santosa KB. Primary high-grade mucinous adenocarcinoma of the renal pelvis and ureter: A case report and systematic review. Int J Med Rev Case Rep. (2020), [cited November 03, 2020]; 4(8): 1-7. doi:10.5455/IJMRCR.2020-06-234



Harvard Style

Yudiana, I. W., Mulia, . Y. A., Duarsa, . G. W. K., Oka, . A. A. G. & Santosa, . K. B. (2020) Primary high-grade mucinous adenocarcinoma of the renal pelvis and ureter: A case report and systematic review. Int J Med Rev Case Rep, 4 (8), 1-7. doi:10.5455/IJMRCR.2020-06-234



Turabian Style

Yudiana, I Wayan, Yusuf Alfi Mulia, Gede Wirya Kusuma Duarsa, Anak Agung Gede Oka, and Kadek Budi Santosa. 2020. Primary high-grade mucinous adenocarcinoma of the renal pelvis and ureter: A case report and systematic review. International Journal of Medical Reviews and Case Reports, 4 (8), 1-7. doi:10.5455/IJMRCR.2020-06-234



Chicago Style

Yudiana, I Wayan, Yusuf Alfi Mulia, Gede Wirya Kusuma Duarsa, Anak Agung Gede Oka, and Kadek Budi Santosa. "Primary high-grade mucinous adenocarcinoma of the renal pelvis and ureter: A case report and systematic review." International Journal of Medical Reviews and Case Reports 4 (2020), 1-7. doi:10.5455/IJMRCR.2020-06-234



MLA (The Modern Language Association) Style

Yudiana, I Wayan, Yusuf Alfi Mulia, Gede Wirya Kusuma Duarsa, Anak Agung Gede Oka, and Kadek Budi Santosa. "Primary high-grade mucinous adenocarcinoma of the renal pelvis and ureter: A case report and systematic review." International Journal of Medical Reviews and Case Reports 4.8 (2020), 1-7. Print. doi:10.5455/IJMRCR.2020-06-234



APA (American Psychological Association) Style

Yudiana, I. W., Mulia, . Y. A., Duarsa, . G. W. K., Oka, . A. A. G. & Santosa, . K. B. (2020) Primary high-grade mucinous adenocarcinoma of the renal pelvis and ureter: A case report and systematic review. International Journal of Medical Reviews and Case Reports, 4 (8), 1-7. doi:10.5455/IJMRCR.2020-06-234