Ureteric transitional cell carcinoma

Case contributed by Dr Ian Bickle

Presentation

Visible hematuria and LUTS.

Patient Data

Age: 80 years
Gender: Male

No renal tract stones.

Both kidneys concentrate and excrete normally.

Filling defect in an expanded proximal right ureter just distal to the PUJ.

Bilateral renal cortical cysts.

The liver, spleen, gallbladder and both adrenal glands are normal.

Pancreatic calcifications are consistent with chronic pancreatitis.

No size significant abdominal or pelvic adenopathy.

Calcified pleural plaques,

Retrograde pyelogram

Fluoroscopy

Irregular filling defect in the proximal right ureter consistent with a malignant stricture,

Case Discussion

A biopsy was undertaken at the time of the ureteroscopy which demonstrated a high grade transitional cell carcinoma of the ureter.  The patient proceeded to a nephroureterectomy.

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