title: [Ureter cancer of complete double renal pelvis and ureter: a case report].
abstract: A 66-year-old man presented at our hospital with left back pain. Intravenous pyelography, computerized tomography and magnetic resonance imaging revealed ureteral tumors of the complete left double renal pelvis and the ureter. An endoscopic examination disclosed a papillary tumor from the left ureteral orifice of the lower pole of the kidney. A transurethral resection of the tumor was done, and the pathological features revealed transitional cell carcinoma (PTa, grade 2). A left nephroureterectomy and a partial cystectomy were also carried out; macroscopic examinations showed a non-papillary tumor on the middle portion of the left ureter originating from the upper pole of the kidney. Microscopic examinations revealed transitional cell carcinoma (PT3, grade 3, PL1, PV1). Adjuvant chemotherapy (M-VAC) was administered but discontinued because of severe side effects. Dispite recurrence with retro-peritoneal lymph node metastasis, the patient is alive and again undergoing M-VAC chemotherapy 22 months after the initial surgery. However, the evaluation of the chemotherapy was "no change".
authors.affiliation: Department of Urology, Osaka Medical Cellege.
authors.forename: Shizuko
authors.initials: S
authors.lastname: Takagi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Gohji
authors.forename: Yusaku
authors.initials: Y
authors.lastname: Iwamoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Masuda
authors.forename: Naoki
authors.initials: N
authors.lastname: Segawa
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Kiura
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Ueda
authors.forename: Yoji
authors.initials: Y
authors.lastname: Katsuoka
mesh_terms: D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000473:pathology / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D007682:Kidney Pelvis / Q000002:abnormalities*; D008207:Lymphatic Metastasis; D008297:Male; D009364:Neoplasm Recurrence, Local; D009378:Neoplasms, Multiple Primary; D014513:Ureter / Q000002:abnormalities*; D014516:Ureteral Neoplasms / Q000473:pathology / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery; D013520:Urologic Surgical Procedures