title: [Bilateral upper tract urothelial carcinoma eight years after total cystectomy and Indiana pouch urinary diversion for bladder cancer : a case report].
abstract: A 46-year-old man underwent total cystectomy and Indiana pouch urinary diversion for bladder cancer in 2001. Pathological examination revealed an urothelial carcinoma of the bladder (pT2N0M0). He was referred to our hospital for bilateral hydronephrosis in June 2009. Cytological examination of the urine was negative. Percutaneous nephrostomy was performed, and we suspected bilateral ureteral tumors from pyelo-ureterography. Percutaneous ureteroscopy revealed a papillary tumor in the right ureter. Since there appeared to be a papillary tumor in the left ureter, we decided to perform ureterectomy for bilateral ureteral tumors, and to keep the bilateral nephrostomy tube for urinary diversion. Pathological examination revealed urothelial carcinoma in bilateral ureters. There has been no sign of recurrence at 17 months after the operation.
authors.affiliation: The Department of Urology, Osaka Rosai Hospital, Japan.
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Kensaku
authors.initials: K
authors.lastname: Nishimura
authors.forename: Norichika
authors.initials: N
authors.lastname: Ueda
authors.forename: Norihiko
authors.initials: N
authors.lastname: Kawamura
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ujike
authors.forename: Mikio
authors.initials: M
authors.lastname: Nin
authors.forename: Susumu
authors.initials: S
authors.lastname: Miyoshi
mesh_terms: D015653:Cystectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014516:Ureteral Neoplasms / Q000473:pathology* / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion