[Ureteral and bladder metastases of renal cell carcinoma following synchronous renal cell carcinoma and bladder cancer; a case report].
A 73-year-old man presented with gross hematuria. Ultrasonography and computerized tomography showed small bladder tumors and a left renal mass protruding to renal pelvis. Transurethral resection of bladder tumor and ureteroscopic tumor biopsy were performed, and pathological examinations revealed transitional cell carcinoma in the bladder and renal cell carcinoma in the kidney. He underwent left radical nephrectomy. A 4-month postoperative cystoscopy revealed a solitaly non-papillary tumor in the bladder. Transurethral resection was performed and pathological diagnosis was metastasis from renal cell carcinoma. At that time, multiple metastases to ureteral stump and lung were found. He had undergone palliative treatment because of his poor general condition until he died 26 months postoperatively. Care should be taken for management of ureteral stump when diagnostic ureteroscopy was done for renal cell carcinoma invading the renal pelvis.
Kamota
Shinji
S
Department of Urology, Hokkaido University Graduate School of Medicine.
Harabayashi
Toru
T
Suzuki
Shin
S
Takeyama
Yoshihiro
Y
Mitsui
Takahiko
T
Mouri
Gaku
G
Hashimoto
Akiyoshi
A
Nakamura
Michiko
M
Shinohara
Nobuo
N
Nonomura
Katsuya
K
Koyanagi
Tomohiko
T
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary*; D002295:Carcinoma, Transitional Cell / Q000556:secondary*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D009378:Neoplasms, Multiple Primary; D014516:Ureteral Neoplasms / Q000556:secondary*; D001749:Urinary Bladder Neoplasms / Q000556:secondary*