Late upper urinary tract urothelial carcinoma following radical cystectomy,presenting as page kidney

摘要

Dear Editor,We are describing a rare case presenting with page phenomenon,9 years post radical cystectomy for muscle invasive bladder cancer.Page kidney was developed secondary to a late recurrent urothelial tumour in the left renal pelvis.Our case is a fifty-seven-year-old gentleman presented with poorly controlled hypertension and left dull aching loin pain.His blood pressure(BP)was 180/80 mmHg at diagnosis and was down to 150/80 mmHg using angiotensin converting enzyme(ACE)inhibitor and beta blocker medications.He underwent a radical cystectomy(RC)and ileal conduit urinary diversion 9 years ago.Pathology of his cystectomy specimen was localized urothelial carcinoma with negative resection margin and negative lymph nodes(T2N0M0).Examination showed a palpable mobile mass in the left hypochondrium.