title: [The Vaginal Metastasis of Ureteral Carcinoma after Left Nephroureterectomy: A Case Report].
abstract: 69-year-old woman underwent left nephroureterectomy for left ureteral cancer (urothelial carcinoma (UC), high grade, pT3pN0) in September 2013. She returned to our hospital presenting with asymptomatic macrohematuria in July 2014. Cystoscopy showed tiny papillary tumors in the bladder. We also found genital bleeding from multiple papillary tumors on the vaginal wall. We performed transurethral resection of the bladder tumor and a biopsy of the vaginal wall demonstrated non-invasive UC, high grade. Pelvic magnetic resonance imaging after the operation showed no infiltration outside the bladder wall and vaginal wall. Therefore, we performed endoscopic excision of the vaginal tumor. However we could not resect all vaginal tumors. Irradiation of the vagina and uterus was performed under the diagnosis of metastasis of UC tovagina. Vaginal UC is extremely rare and this is the 26th case report in the literature.
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Gaku
authors.initials: G
authors.lastname: Yamamichi
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Go
authors.initials: G
authors.lastname: Tanigawa
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Sohei
authors.initials: S
authors.lastname: Kuribayashi
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Takuya
authors.initials: T
authors.lastname: Okusa
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Masataka
authors.initials: M
authors.lastname: Kawamura
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Ayumu
authors.initials: A
authors.lastname: Taniguchi
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Kosuke
authors.initials: K
authors.lastname: Nakano
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Koichi
authors.initials: K
authors.lastname: Tsutahara
authors.affiliation: The Department of Obstetrics and gynecology, Osaka General Medical Center.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Takemura
authors.affiliation: The Department of Pathology, Osaka General Medical Center.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Fushimi
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Takao
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Seiji
authors.initials: S
authors.lastname: Yamaguchi
mesh_terms: D000368:Aged; D003558:Cystoscopy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D060787:Neoplasm Grading; D009392:Nephrectomy; D014516:Ureteral Neoplasms / Q000473:pathology* / Q000601:surgery; D014625:Vaginal Neoplasms / Q000556:secondary* / Q000628:therapy