Full of twists and turns: Collecting duct carcinoma presenting as persistent cough

Xueying Li; Zhiyong Shen; Yu Han; Qinghong Duan

doi:10.1016/j.eucr.2022.102283

Full of twists and turns: Collecting duct carcinoma presenting as persistent cough

Urol Case Rep. 2022 Nov 18:45:102283. doi: 10.1016/j.eucr.2022.102283. eCollection 2022 Nov.

Authors

Xueying Li¹, Zhiyong Shen², Yu Han², Qinghong Duan^{1

3}

Affiliations

¹ College of Imaging, Guizhou Medical University, Guiyang, Guizhou Province, China.
² Department of Urology, The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang, Guizhou Province, China.
³ Department of Radiology, The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang, Guizhou Province, China.

Abstract

We report a case of collecting duct carcinoma (CDC) in a 60-year-old man who presented with persistent cough, low back pain, and weight loss. Contrast-enhanced CT of chest and abdomen revealed a mass in the medulla of the middle and upper parts of the right kidney, with spread into perirenal tissue, vascular invasion, and distant metastasis. First renal biopsy only showed inflammation. Repeat biopsy and histopathological examination and immunohistochemistry confirmed CDC. The patient died 2 months after diagnosis despite interventional therapy, chemotherapy, and targeted therapy. This case is being reported because of its rarity and unusual presentation.

Keywords: Collecting duct carcinoma; Computed tomography; Kidney; Malignant.

Publication types

Case Reports