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Kidney Conservation by Delayed ContralateralAutotransplantation in a Case of Retroperitoneal Lymphoma Involving the Ureter
Author(s) -
Avi Stein,
E Aghai,
Oded Cohen,
Z Shapira,
Alan G. Lurie
Publication year - 1995
Publication title -
urologia internationalis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.771
H-Index - 53
eISSN - 1423-0399
pISSN - 0042-1138
DOI - 10.1159/000282778
Subject(s) - medicine , ureter , autotransplantation , nephrostomy , percutaneous nephrostomy , surgery , kidney , urology , ureteral neoplasm , hydronephrosis , chemotherapy , urinary system , transplantation , transitional cell carcinoma , percutaneous , anatomy , cancer , bladder cancer
Large-cell retroperitoneal lymphoma was partially resected including a long segment of ureter. The proximal end of the ureter was clipped during surgery. A percutaneous nephrostomy was inserted after 48 h. Adjuvant chemotherapy was then delivered and the kidney was autotransplanted to the contralateral iliac fossa. Salvage of a hydronephrotic functioning kidney by nephrostomy and delayed contralateral autotransplantation in a case of huge retroperitoneal tumor involving the ureter has not, to the best of our knowledge, been described previously. This might suggest a reasonable approach for young patients with large retroperitoneal tumors involving long segments of the ureter. Autotransplantation was performed only after a disease-free status was confirmed following chemotherapy.

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