Open AccessUrothelial carcinoma in a remnant ureter after a radical nephrectomy for renal cell carcinoma: A case report
Author(s) -
Shu-Wei Tsai,
Chih Kuang Lin,
Chun-Yeung Lin,
TungHan 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 , cuff , carcinoma , ureteral neoplasm , surgery , renal cell carcinoma , gross hematuria , 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