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A patient with synchronous bilateral low-grade upper tract urothelial carcinoma who underwent nephroureterectomy and total ureterectomy with ileal ureteric replacement

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Abstract

We present the case of a synchronous bilateral low-grade upper-tract urothelial carcinoma patient who underwent left nephroureterectomy and right total ureterectomy with ileal ureteric replacement resulting in a favorable prognosis. A 66-year-old male presented with bilateral hydronephrosis. Computed tomography revealed left pelvic and right upper–middle ureteral tumors with no lymph node swelling or distant metastasis. The patient underwent a left nephroureterectomy with a bladder cuff, and histopathology revealed a low-grade urothelial carcinoma. Considering the contralateral low-grade nature as revealed in histopathology and the right retrograde ureterography being noninvasive, he underwent a right total ureterectomy with ileal ureteric replacement. Histopathology of the right ureter revealed a low-grade urothelial carcinoma. The patient successfully avoided an anephric status without renal function deterioration for 4 years with a transurethral resection for a recurrent small papillary bladder tumor on 18 months after the total ureterectomy.

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Authors and Affiliations

  1. Department of Urology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan

    Yoshinori Matsuda, Takamitsu Inoue, Atsushi Maeno, Atsushi Koizumi, Ryohei Yamamoto, Taketoshi Nara, Sohei Kanda, Kazuyuki Numakura, Mitsuru Saito, Shintaro Narita & Tomonori Habuchi

  2. Center for Kidney Disease and Transplantation, Akita University Hospital, Akita, Japan

    Shigeru Satoh

  3. Department of Urology, Akita City Hospital, Akita, Japan

    Yoshinori Matsuda & Atsushi Maeno

Authors
  1. Yoshinori Matsuda
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  2. Takamitsu Inoue
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  3. Atsushi Maeno
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  4. Atsushi Koizumi
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Correspondence to Takamitsu Inoue.

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Matsuda, Y., Inoue, T., Maeno, A. et al. A patient with synchronous bilateral low-grade upper tract urothelial carcinoma who underwent nephroureterectomy and total ureterectomy with ileal ureteric replacement. Int Canc Conf J 9, 82–87 (2020). https://doi.org/10.1007/s13691-020-00402-w

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  • DOI: https://doi.org/10.1007/s13691-020-00402-w

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