J Korean Med Sci.  2009 Oct;24(5):992-994. 10.3346/jkms.2009.24.5.992.

Transitional Cell Carcinoma in a Remnant Ureter after Retroperitoneoscopic Simple Nephrectomy for Benign Renal Disease

• Park JY
• Park J
• Ku JH
• Kim HH

• KMID: 1782032
• DOI: http://doi.org/10.3346/jkms.2009.24.5.992

Abstract

A 70-yr-old man presented with painless gross hematuria. He underwent right nephrectomy for benign disease 9 yr ago. Computed tomography and cystoscopy showed a mass in the distal region of the right ureteral stump. He underwent right ureterectomy and bladder cuff resection. Pathological examination showed T1 and WHO grade 2 transitional cell carcinoma. At 6 months postoperatively, the patient is alive without any evidence of recurrence.

Keyword

Carcinoma, Transitional Cell; Ureter; Nephrectomy

MeSH Terms

Aged
Carcinoma, Transitional Cell/*diagnosis/pathology/surgery
Cystoscopy
Hematuria/urine
Humans
Kidney Diseases/*surgery
Male
Nephrectomy
Tomography, X-Ray Computed
Ureteral Neoplasms/*diagnosis/pathology/surgery

Figure

• 

  Fig. 1 Computed tomography revealed an enhancing solid mass (arrow) in the distal region of the right ureteral stump.

• 

  Fig. 2 Cystoscopy revealed a papillary mass protruding through right ureteral orifice.

• 

  Fig. 3 (A) Gross appearance. (B) Microscopic appearance (T1, grade 2) (H&E×200).

Reference

1. Wisheart JD. Primary tumour of the ureteric stump following nephrectomy. Presentation of a case and a review of the literature. Br J Urol. 1968. 40:344–349.

2. Malek RS, Moghaddam A, Furlow WL, Greene LF. Symptomatic ureteral stumps. J Urol. 1971. 106:521–528.

3. Kim YJ, Jeon SH, Huh JS, Chang SG. Long-term follow-up of ureteral stump tumors after nephrectomy for benign renal disease. Eur Urol. 2004. 46:748–752.

4. Flanigan RC. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Urothelial Tumors of the Upper Urinary Tract. Campbell-Walsh Urology. 2006. vol 2:9th ed. Philadelphia: WB Saunders;1638.

5. Kantor AF, Hartge P, Hoover RN, Narayana AS, Sullivan JW, Fraumeni JF Jr. Urinary tract infection and risk of bladder cancer. Am J Epidemiol. 1984. 119:510–515.

6. Kaufmann JM, Fam B, Jacobs SC, Gabilondo F, Yalla S, Kane JP, Rossier AB. Bladder cancer and squamous metaplasia in spinal cord injury patients. J Urol. 1977. 118:967–971.

7. Chow WH, Lindblad P, Gridley G, Nyren O, McLaughlin JK, Linet MS, Pennello GA, Adami HO, Fraumeni JF Jr. Risk of urinary tract cancers following kidney or ureter stones. J Natl Cancer Inst. 1997. 89:1453–1457.

8. Pollack HM, Banner MP, Popky GL. Radiologic evaluation of the ureteral stump. Radiology. 1982. 144:225–230.