[Kidney-sparing surgery for recurrent ureteral and bladder cancers in an aged patient with functionally solitary horseshoe kidney].
A 79-year-old woman was admitted with recurrent ureteral and bladder cancers. She had a horseshoe kidney with a non-functioning right renal unit. Fifteen months earlier, multiple urothelial tumors had first developed in the left upper ureter and bladder. Transurethral resection of bladder tumor (TUR-Bt) and partial ureterectomy (2 cm) had been performed. Presently, the recurrent tumors were located at the left lower ureter and bladder. Considering the high age of the patient, TUR-Bt and partial ureterectomy (5 cm) were performed. Besides urothelial cancers, she had been operated for carcinomas of the colon, uterus and stomach. Kidney-sparing therapy has successfully maintained her quality of life.
Amano
T
T
Department of Urology, Nagano Red Cross Hospital.
Niikura
S
S
Kato
H
H
Mihara
S
S
Takemae
K
K
D000368:Aged; D000714:Anastomosis, Surgical; D002295:Carcinoma, Transitional Cell / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000503:physiopathology; D009378:Neoplasms, Multiple Primary; D014513:Ureter / Q000601:surgery; D014516:Ureteral Neoplasms / Q000209:etiology* / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000209:etiology* / Q000601:surgery