title: [Two cases of spontaneous rupture of upper urinary tract caused by the primary ureteral or renal pelvic tumor: a case report].
abstract: We report two cases of spontaneous urinary rupture caused by primary ureteral or renal pelvic cancer. Case 1: A 76-year-old man presented with macrohematuria and left back pain. Magnetic resonance imaging showed left middle ureteral tumor and rupture of upper ureter. Left nephroureterectomy was performed. Histological findings revealed urothelial carcinoma, G2, pT1, lt-u0, ew0, ly0, v1. At five months postoperatively, he died of lymph node metastases after two courses of adjuvant chemotherapy. Case 2: A 59-year-old man presented with macrohematuria and left back pain. Computer tomography showed left renal pelvic tumor with extravasation of urine. Left nephroureterectomy was performed. Examination of surgical specimen revealed a renal pelvic tumor and rupture hole at the renal pelvis. Histological finding revealed urothelial carcinoma, G3, pT3, lt-u0, ly0, v1. One course of adjuvant chemotherapy was performed. At six months postoperatively, he was free from recurrence.
authors.affiliation: Department of Urology, Teikyou University Chiba Medical Center.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Inahara
authors.forename: Satoko
authors.initials: S
authors.lastname: Kojima
authors.forename: Kazushiro
authors.initials: K
authors.lastname: Takei
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Naito
authors.forename: Hiroki
authors.initials: H
authors.lastname: Kito
authors.forename: Kazuhito
authors.initials: K
authors.lastname: Yamazaki
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Ishida
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Furuya
mesh_terms: D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000150:complications* / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D017809:Fatal Outcome; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology* / Q000601:surgery; D007680:Kidney Neoplasms / Q000150:complications* / Q000601:surgery; D007682:Kidney Pelvis; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D012422:Rupture, Spontaneous; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery; D014515:Ureteral Diseases / Q000209:etiology* / Q000601:surgery; D014516:Ureteral Neoplasms / Q000150:complications* / Q000601:surgery