title: [Ureteral and bladder metastases of renal cell carcinoma following synchronous renal cell carcinoma and bladder cancer; a case report].
abstract: 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.
authors.affiliation: Department of Urology, Hokkaido University Graduate School of Medicine.
authors.forename: Shinji
authors.initials: S
authors.lastname: Kamota
authors.forename: Toru
authors.initials: T
authors.lastname: Harabayashi
authors.forename: Shin
authors.initials: S
authors.lastname: Suzuki
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Takeyama
authors.forename: Takahiko
authors.initials: T
authors.lastname: Mitsui
authors.forename: Gaku
authors.initials: G
authors.lastname: Mouri
authors.forename: Akiyoshi
authors.initials: A
authors.lastname: Hashimoto
authors.forename: Michiko
authors.initials: M
authors.lastname: Nakamura
authors.forename: Nobuo
authors.initials: N
authors.lastname: Shinohara
authors.forename: Katsuya
authors.initials: K
authors.lastname: Nonomura
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Koyanagi
mesh_terms: 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*