“…Renal failure is unusual with renal involvement and is more likely to be due to ureteric obstruction, although mild elevation of the serum creatinine level (to two to three times the upper limit of normal) is not uncommon, 168 and hypercalcemia may be an associated feature. 171 Most series promote the use of CT scanning for diagnosis and review, and the need for combination chemotherapy. The prognosis is invariably determined by the histology and stage, and does not appear to be adversely affected by the presence of renal involvement per se.…”