Carcinoma urotelial de tracto urinario superior: Reporte de un caso
| Autor: | Jorge Lambis Ricardo, Alfredo Mendoza Luna, Carlos Ballestas Almario, Sandra Herrera Lomonaco, Aura González Peralta, Stephany Montenegro Castañeda |
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| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2015 |
| Předmět: |
Gynecology
medicine.medical_specialty Medicine (General) Urethrotomy medicine.diagnostic_test business.industry medicine.medical_treatment Carcinoma urotelial Microscopic haematuria Pelvis renal Kidney pelvis General Medicine medicine.disease Nefroureterectomía radical Nephrectomy Surgery Ureteroscopia R5-920 Upper tract medicine Carcinoma Ureteroscopy business Upper urinary tract |
| Zdroj: | Repositorio Universidad de Cartagena Universidad de Cartagena instacron:Universidad de Cartagena Revista Ciencias Biomédicas, Vol 6, Iss 2 (2020) |
| Popis: | Introduccion: los carcinomas uroteliales de tracto urinario superior primarios son tumores raros, representan el 5% de todos los canceres uroteliales y menos del 10% de los tumores renales. Los sintomas son inespecificos. Son mas frecuentes en la 7-8o decada de la vida. El pronostico es pobre para los pacientes con enfermedad avanzada. Caso clinico: masculino de 55 anos con hematuria microscopica y dolor lumbar. Ureterorrenoscopia flexible muestra sangrado difuso proveniente de las papilas de caliz superior, asociado a lesion de caracteristicas tumorales. Se realiza nefrectomia abierta izquierda con ureterotomia izquierda. Estudio anatomopatologico reporto carcinoma urotelial invasivo de tracto urinario superior. El paciente presento evolucion satisfactoria. Conclusion: el carcinoma urotelial del tracto superior es una enfermedad rara. Es importante la clasificacion y estadificacion preoperatoria precisa. El tratamiento de eleccion es la nefroureterectomia. Rev.cienc.biomed. 2015;6(2):364-368 PALABRAS CLAVE Carcinoma urotelial; Pelvis renal; Nefroureterectomia radical; Ureteroscopia. SUMMARY Introduction: the primary upper urinary tract urothelial carcinomas are rare tumors, they represent 5% of all urothelial cancers and less than 10% of kidney tumors. The symptoms are nonspecific. They are more common in the seventh or eighth decade of life. The prognosis is poor for patients with advanced disease. Case report: a 55 years old man with microscopic haematuria and lumbar pain. Supple ureterorenoscopy shows bleeding in napa that comes from papillae of upper calyx associated with tumor lesion characteristics. Open left nephrectomy with left urethrotomy was performed. Pathological study reported invasive upper urinary tract urothelial carcinoma. The patient presented satisfactory evolution. Conclusion: the upper tract urothelial carcinoma is a rare disease. It is important classification and accurate preoperative staging. The treatment of choice is nephroureterectomy. Rev.cienc.biomed. 2015;6(2):364-368 KEYWORDS Urothelial carcinoma; Kidney Pelvis; Radical nephroureterectomy; Ureteroscopy. |
| Databáze: | OpenAIRE |
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