A 61-year-old patient presented with 2-month long left flank pain. The patient had history of pyelolithotomy 35 years previously. The CT scan results are shown in Fig. 1a for left nephrolithiasis with left grade 4 hydronephrosis, solid mass in the renal pelvis, and retroperitoneal lymphadenopathy. Histopathological examination revealed squamous cell carcinoma of the renal pelvis which had pathological stage pT3 (Fig. 1b, c). The patient was treated with platinum-based chemotherapy, after three cycles of treatment control CT scan showed progression of disease with liver metastasis. The patient had grave prognosis and died at the fifth month of diagnosis with disease progression.
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