The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
ISSN-L : 0021-5287
URETERAL AND BLADDER METASTASES OF RENAL CELL CARCINOMA FOLLOWING SYNCHRONOUS RENAL CELL CARCINOMA AND BLADDER CANCER; A CASE REPORT
Shinji KamotaToru HarabayashiShin SuzukiYoshihiro TakeyamaTakahiko MitsuiGaku MouriAkiyoshi HashimotoMichiko NakamuraNobuo ShinoharaKatsuya NonomuraTomohiko Koyanagi
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2003 Volume 94 Issue 7 Pages 705-708

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Abstract

A 73-year-old man presented with gross hematuria. Ultrasonography and computerized tomography showed small bladder tumors and a left renal mass protruding to renal pelvis. Transurethral resection of bladder tumor and ureteroscopic tumor biopsy were perfomed, and pathological examinations revealed transitional cell carcinoma in the bladder and renal cell carcinoma in the kidney. He underwent left radical nephrectomy. A 4-month postoperative cystoscopy revealed a solitaly non-papillary tumor in the bladder. Transurethral resection was performed and pathological diagnosis was metastasis from renal cell carcinoma. At that time, multiple metastases to ureteral stump and lung were found. He had undergone palliative treatment because of his poor general condition until he died 26 months postoperatively. Care should be taken for management of ureteral stump when diagnostic ureteroscopy was done for renal cell carcinoma invading the renal pelvis.

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