PMC5734706_01
a Weak enhanced solid mass 5 cm in diameter in the left renal pelvis of the horseshoe kidney. The tumor seemed to invade the spleen. (Yellow arrow). b. Coronal section of enhanced CT image showed: The renal pelvic tumor could invade the spleen directly. (Yellow arrow). c. Horseshoe kidney.
gr1.jpg
PMC5734706_01_gr1.jpg
fig1
Enhanced computed tomography (CT) imaging showed a solid mass 50 mm in diameter in the left renal pelvis, and the mass had directly invaded the spleen (Fig. 1a-c).
a Histological findings: Splenic invasion is recognized from the invasive front of the tumor. Original magnification x100. b. Histological findings: Splenic invasion is recognized from the invasive front of the tumor. Original magnification x200.
gr2.jpg
PMC5734706_01_gr2.jpg
fig2
A final pathological diagnosis was urothelial carcinoma (G3, pT4, pR0, pL0, pV1, pN0) with spleen invasion (Fig. 2a and b).