Tumors of the Renal Pelvis

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Tumors of the renal pelvis, by reason of their infrequent occurrence and diagnostic complexity, have a special significance not entirely characteristic of other types of renal tumors. These growths are comparatively uncommon and it is generally considered that they comprise from 5 to 7 per cent of all renal tumors. In a series of 341 renal tumors seen at the Cleveland Clinic, 13 or 4.2 per cent were or had their origin in the renal pelvis. It is of interest to note that no such tumor was recorded in this Clinic between January, 1933, and December, 1938. In December, 1938, two cases were seen, one of which is here reported.

Report of Case

History: The patient was a man, 54 years of age, whose occupation for twenty years had been that of a laborer in a stone quarry. He came to the Clinic on December 14, 1938. His chief complaint was of bloody urine, which had been present for about two months. He had always enjoyed good health with the exception of a chronic cough and shortness of breath. The cough had never been productive. Associated with the hematuria, mild dysuria and occasional nocturia developed. The urine was diffusely red at all times and was not clear on any occasion following the onset of hematuria. He fatigued quite easily and had lost about ten pounds in weight.

The past history was non-revealing. He was a Polish immigrant and contacts with his family had been severed at an early age.

Physical. . .



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