[Benign fibroepithelioma of the ureter. A rare differential diagnosis for pain-free macrohematuria].
Gross hematuria without pain is a classical symptom of malignancy in the urinary tract. Despite the presence of other symptoms such as a history of heavy smoking or radiologic evidence of tumor growth, it may still be caused by a benign lesion. This is demonstrated by the case of a 38 year old man with a fibroepithelioma of the left ureter. While discussing the differential diagnostic and treatment procedures it is shown that even in the era of modern non-invasive imaging techniques there is still an important place for retrograde ureteropyelography in the evaluation of the upper urinary tract.
Klinik und Poliklinik für Urologie des Universitätsklinikums Münster, Westfälische Wilhelms-Universität, Albert-Schweitzer-Strasse 33, 48129 Münster, Germany. mbode@mednet.uni-muenster.de
M-E
ME
Bode
C
C
Weining
C
C
Wülfing
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H
Piechota
D000328:Adult; D003937:Diagnosis, Differential; D006417:Hematuria / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D018225:Neoplasms, Fibroepithelial / Q000150:complications* / Q000175:diagnosis*; D010146:Pain / Q000175:diagnosis / Q000209:etiology; D014516:Ureteral Neoplasms / Q000150:complications* / Q000175:diagnosis*; D014567:Urography; D014571:Urologic Neoplasms / Q000175:diagnosis