Primary tumor of the ureteral stump following a nephrectomy for renal cell carcinoma.
BACKGROUND
A 64-year-old man presented with asymptomatic macroscopic hematuria during a follow up for a localized renal cell carcinoma (RCC), which was treated by a right radical nephrectomy 6 years earlier.


METHODS
X-rays and a ureteroscopic examination revealed multiple papillary tumors filling the right ureteral stump. Surgery was performed to excise the ureteral stump and bladder cuff. The tumor was histologically a grade 2-3 transitional cell carcinoma without muscle invasion.


CONCLUSIONS
Only four patients with a ureteral stump carcinoma, including the present case, have been reported after a nephrectomy for RCC. Considering that this patient had a past history of multiple cancers, genetic or environmental factors may have contributed to the etiology of the ureteral stump tumor.
Suzuki
T
T
Department of Urology, Akita University School of Medicine, Japan. takes@med.akita-u.ac.jp
Tsuchiya
N
N
Otomo
R
R
Kakinuma
H
H
Satoh
S
S
Sato
K
K
Ogawa
O
O
Kato
T
T
D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000601:surgery*; D002295:Carcinoma, Transitional Cell / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D011183:Postoperative Complications; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014516:Ureteral Neoplasms / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014567:Urography