Squamous cell carcinoma (SCC) of the kidney is a rare malignancy and has a poor prognosis because it is usually detected and presents at an advanced stage of the disease. Due to lack of studies regarding its clinical course and its radiologic features, it is usually not detected and presents as an incidental finding in histopathologic results. This type of malignancy more often is related to Renal stones secondary to chronic infection, inflammation, and irritation. A 52-year-old Filipino woman was referred to this institution due to flank pain and constant weight loss. The authors administered antibiotics then performed simple nephrectomy on her. A pathologic examination revealed Squamous Cell Carcinoma with Sarcomatoid differentiation. Four months after the operation, patient was readmitted due to lowback pain and generalized weakness which led to a suspicion of a possibility of Bone Metastasis. Patient was offered further workups such as whole abdominal CT scan with contrast and other palliative treatments however she refused and opted to be discharged despite medical advice. Patient then died 2 weeks after being home against medical advice.
Carcinoma, Squamous Cell ; Staghorn Calculi

From July 1987 to May 1990, a total of 13 simultaneous bilateral percutaneous nephrolithotripsies (PCNL) were performed in two medical institutions for bilateral proximal ureteral stones, bilateral pelvolithiasis and nephrolithiasis, and bilateral staghorn calculi. No major complications occurred. It appears that simultaneous bilateral PCNL has several advantages including reasonable operative time, safety of the procedure and cost effectiveness. Greater applications of this procedures is encouraged. (Author)

Human ; Male ; Female ; Middle Aged ; Adult ; Urinary Calculi ; Nephrolithiasis ; Staghorn Calculi

Adult ; Aged ; Endoscopy ; methods ; Female ; Humans ; Kidney Calculi ; surgery ; Male ; Middle Aged ; Nephrostomy, Percutaneous ; methods ; Staghorn Calculi ; surgery ; Young Adult