KIDNEY - Carcinoma of the renal pelvis

The origin of the tumour from the pelvic wall is well seen; the tumour is some 3.0 cm in maximum dimensions and has a characteristic papillary pattern. It is partly covered by blood clot and does not appear to be extending beyond the wall of the pelvis.
This man had a transitional cell carcinoma of the bladder in 1979 which subsequently required regular diathermy; he was admitted on this occasion for assessment of further haematuria. A pyelogram showed a non-functioning kidney on the right side and a retrograde pyelogram and CT scan confirmed the presence of a tumour in the renal pelvis.