Urothelial carcinoma in a remnant ureter after a radical nephrectomy for renal cell carcinoma: A case report | Zendy

Shu-Wei Tsai | Zendy; Chih-Ming Lin | Zendy; Chun-Yeung Lin | Zendy; Teh-Sheng Hsieh | Zendy

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Urothelial carcinoma in a remnant ureter after a radical nephrectomy for renal cell carcinoma: A case report

Author(s) -

Shu-Wei Tsai,

Chih-Ming Lin,

Chun-Yeung Lin,

Teh-Sheng Hsieh

Publication year - 2013

Publication title -

urological science

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.155

H-Index - 8

eISSN - 1879-5234

pISSN - 1879-5226

DOI - 10.1016/j.urols.2013.04.005

Subject(s) - medicine , nephrectomy , cystoscopy , ureteroscopy , urology , papillary tumor , ureter , carcinoma , cuff , renal cell carcinoma , ureteral neoplasm , surgery , transitional cell carcinoma , bladder cancer , kidney , cancer , radiology , urinary system

Urothelial carcinoma of a ureteral stump after a radical nephrectomy for renal cell carcinoma is rare. We present the case of a 76-year-old man with painless gross hematuria. The patient had undergone a right nephrectomy for renal cell carcinoma 30 months previously. Cystoscopy showed a blood clot in the right ureteral orifice, and ureteroscopy revealed a papillary mass in the right ureter. The patient underwent a right ureterectomy and bladder cuff resection. The pathology examination showed a high-grade urothelial carcinoma. However, a superficial bladder tumor was discovered postoperatively, and a transurethral resection of the bladder tumor was performed. At 8 months postoperatively, the patient was alive with no evidence of recurrence. A ureteral stump evaluation must be performed when painless hematuria is noted in patients after a nephrectomy

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