Ureteric transitional cell carcinoma: goblet sign

Case contributed by Dr Mohammed Al Khader.O.Thabet

Presentation

Right flank pain and renal impairment

Patient Data

Age: 71
Gender: Male
Modality: Fluoroscopy

Retrograde pyelogram was performed after unenhanced KUB CT scan shows large filling at the mid/lower third junction of right ureter causing dilated ureter above and below the site of obstruction, the dilatation below the obstruction is cup shaped appearance consistent with goblet sign.

Case Discussion

The goblet sign is highly characteristic sign of TCC (in this case of biopsy proven TCC) with distal and proximal ureteric dilatation due to slow growth. A stone filling defect will cause upstream dilatation usually and downstream narrowing due to spasm and oedema. 

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Case Information

rID: 38936
Case created: 11th Aug 2015
Last edited: 10th Sep 2015
System: Urogenital
Inclusion in quiz mode: Included

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