Transitional cell carcinoma of ureteral stump after radical nephrectomy for renal cell carcinoma.
A 68-year-old male presented with microscopic hematuria during a routine checkup after undergoing a radical nephrectomy for renal cell carcinoma. Retrograde ureterography demonstrated a ureteral stump tumor. The ureteral stump was completely resected with a bladder cuff and histologic diagnosis was grade 2 to 3 transitional cell carcinoma of the ureteral stump. He is doing well and has been tumor-free for 2 years. The ureteral stump must be correctly evaluated using retrograde ureterography in any patient with a prior history of bladder cancer. Even if a patient had no history of ureterial cancer, whenever hematuria is present in the follow-up period after nephrectomy for renal cell carcinoma, a retrograde pyelogram should be performed.
Nagatsuma
K
K
Department of Urology, Keio University School of Medicine, Tokyo, Japan. nagatsu@mc.med.keio.ac.jp
Tachibana
M
M
Miyakawa
A
A
Asanuma
H
H
Murai
M
M
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D002295:Carcinoma, Transitional Cell / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D009392:Nephrectomy; D011183:Postoperative Complications; D014516:Ureteral Neoplasms / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D014567:Urography