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Minerva Urologica e Nefrologica 1998 September;50(3):191-4

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: English

Metastases of the ureteral stump and bladder from renal cell carcinoma: report of a case

Vecchioli Scaldazza C. 1, Morosetti C. 2, Diamanti L. 2, Magagnini M. 1

1 Urology Division, Jesi (Ancona); 2 Pathology and Clinical Research Service, Jesi (Ancona)


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The ­case of a 56 ­year-old ­male ­patient ­with asyn­chro­nous iso­lated metas­tases to the uret­eral ­stump and ­bladder ­from ­renal ­cell car­ci­noma is pre­sented. Uret­eral metas­tasis was dis­cov­ered 2 ­years ­after neph­rec­tomy. Cys­tos­copy and MRI ­were per­formed. An exci­sion of the uret­eral ­stump ­with a ­cuff of ­bladder was car­ried out. No ­other metas­tasis was ­observed. Six ­months ­later a trans­urethral resec­tion was per­formed on ­account of metas­tasis of the ­right ­wall of the ­bladder. Path­o­log­ical exam­ina­tion dem­on­strated a ­renal ­cell car­ci­noma metas­tasis. ­After 6 ­months a new ves­ical metas­tasis ­from ­renal ­cell car­ci­noma was ­found. The ­small ­nodule of the ­lower ­part of the ­right ­wall of the ­bladder was ­removed. The lit­er­a­ture is ­reviewed and the pres­en­ta­tion, met­a­static path­ways, man­age­ment of uret­eral ­stump and ­bladder metas­tases ­from ­renal ­cell car­ci­noma are dis­cussed.

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