An Unusual and Rare Metachronous Ipsilateral Ureteric Stump Metastasis Post Radical Nephrectomy
Autor: | Chinedum Anosike, Lee Robinson, Manal Kumar, Ramandeep Chalokia, Catherine Manson |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment Chromophobe Renal Cell Carcinoma Chromophobe cell urologic and male genital diseases Metastasis ureteric stump metastases Lesion metachronous medicine chromophobe renal cell carcinoma business.industry General Engineering Cancer computed tomography medicine.disease Primary tumor female genital diseases and pregnancy complications Nephrectomy Surgery hematuria surgical procedures operative Cuff medicine.symptom business |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
DOI: | 10.7759/cureus.17727 |
Popis: | We report a case of recurrence of chromophobe renal cell cancer in the ipsilateral ureteric stump eight years later after the primary tumor was excised successfully. Before this detection of the recurrence, the patient had presented with recurrent episodes of hematuria four years after the radical nephrectomy was performed and the investigations were inconclusive. Eventually, the lesion was detected on flexible cystoscopy in the area of the right ureteric orifice protruding in the bladder. Transurethral resection of the tumor surprisingly revealed a chromophobe renal cancer with similar features seen in the primary tumor specimen. The patient underwent robotic-assisted laparoscopic excision of the ureteric stump with a cuff of the bladder and has been recurrence-free for five years on regular surveillance scans. |
Databáze: | OpenAIRE |
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