A CASE OF RENAL PELVIC TUMOR DUE TO PHENACETIN ABUSE

A 46-year-old female has abused phenacetin-containg analgesics because she had severe headache since 1957. In 1978 she was admitted to the Department of Internal Medicine in our hospital because of severe headache. The diagnosis of psychogenic headache, phenacetin nephropathy and granulocytopenia du...

Full description

Saved in:
Bibliographic Details
Published inNippon Hinyokika Gakkai zasshi Vol. 78; no. 2; pp. 351 - 355
Main Authors Kimura, Mitsutaka, Matsubara, Masanori, Suwa, Junji, Matsuyama, Kyosuke, Shishido, Satoru, Chino, Ichiro
Format Journal Article
LanguageJapanese
Published Japan THE JAPANESE UROLOGICAL ASSOCIATION 01.02.1987
Subjects
Carcinoma, Transitional Cell - chemically induced
Carcinoma, Transitional Cell - pathology
Female
Humans
Kidney Neoplasms - chemically induced
Kidney Neoplasms - pathology
Kidney Pelvis
Middle Aged
Phenacetin
Substance-Related Disorders
Online AccessGet full text

Cover

More Information
Summary:A 46-year-old female has abused phenacetin-containg analgesics because she had severe headache since 1957. In 1978 she was admitted to the Department of Internal Medicine in our hospital because of severe headache. The diagnosis of psychogenic headache, phenacetin nephropathy and granulocytopenia due to analgesic abuse was made. DIP showed left contracted kidney but normal right pyelogram. On April 25, 1983 she visited the Department of Urology in our hospital because of gross hematuria since November 1982. Her total intake of phenacetin was about 4.7kg during the 25 year period. Retrograde pyerography revealed a right renal pelvic tumor. Urine cytology showed class IV. Right ureteronephrectomy was performed on July 5, 1983. Histological diagnosis was transitional cell carcinoma, grade 2, stage T1a. At present, 32 months after the operation, she has no sign of recurrence and metastasis.
ISSN:0021-5287
1884-7110
DOI:10.5980/jpnjurol1928.78.2_351