Kidney conservation by delayed contralateral autotransplantation in a case of retroperitoneal lymphoma involving the ureter.
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.
Department of Urology, Lady Davis Carmel Hospital, Haifa, Israel.
A
A
Stein
E
E
Aghai
O
O
Cohen
Z
Z
Shapira
A
A
Lurie
D000328:Adult; D006801:Humans; D016030:Kidney Transplantation; D016393:Lymphoma, B-Cell / Q000473:pathology / Q000601:surgery*; D016400:Lymphoma, Large-Cell, Immunoblastic / Q000473:pathology / Q000601:surgery*; D008297:Male; D012186:Retroperitoneal Neoplasms / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D014182:Transplantation, Autologous; D014513:Ureter / Q000473:pathology / Q000601:surgery