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Repeated endoscopic treatments of multiple recurrent ureteral tumors following 15-year-long history of bladder tumors in the patient from endemic nephropathy region.

Pejcic T, Hadzi-Djokic J, Markovic B, Dzamic Z, Djurasic L, Acimovic M - Cent European J Urol (2013)

Bottom Line: In these patients, the efficacy of conservative surgery is comparable to that of nephroureterectomy.The case of an 84-year-old lady from an area affected by BEN is presented.Among a highly select group of patients, endoscopic treatment of multiple small superficial low-grade ureteral tumors may prove successful.

View Article: PubMed Central - PubMed

Affiliation: Clinical Center of Serbia, Urological Clinic, Belgrade, Serbia.

ABSTRACT
Ureteral urothelial tumors (UUT) are uncommon; their incidence is higher in areas affected by Balkan endemic nephropathy (BEN), with low-grade lesions prevalent. In these patients, the efficacy of conservative surgery is comparable to that of nephroureterectomy. Endoscopic treatment is indicated for single, small and low grade UUT, in older patients with significant comorbidity. The case of an 84-year-old lady from an area affected by BEN is presented. Over 20 years, the patient underwent five endoscopic interventions for multiple UUT, and numerous endoscopic interventions for recurrent bladder tumors. Among a highly select group of patients, endoscopic treatment of multiple small superficial low-grade ureteral tumors may prove successful.

No MeSH data available.


Related in: MedlinePlus

The positions and size of the tumors in the urinary bladder and left ureter from March 1994 – March 2012.
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Figure 0001: The positions and size of the tumors in the urinary bladder and left ureter from March 1994 – March 2012.

Mentions: The case of an elderly lady from the area affected by BEN is presented. The lady was born in 1929 in a small village in south eastern Serbia; she has never smoked. In March 1994 she underwent her first transurethral resection (TUR) of a bladder tumor. A pathological examination revealed transitional cell cancer (TCC) stage Ta, grade G1. Over the next 20 years the woman had 24 recurrent low–grade BTs and five ureteroscopic fulgurations for about 30 urothelial tumors in the left ureter (Figure 1).


Repeated endoscopic treatments of multiple recurrent ureteral tumors following 15-year-long history of bladder tumors in the patient from endemic nephropathy region.

Pejcic T, Hadzi-Djokic J, Markovic B, Dzamic Z, Djurasic L, Acimovic M - Cent European J Urol (2013)

The positions and size of the tumors in the urinary bladder and left ureter from March 1994 – March 2012.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3974468&req=5

Figure 0001: The positions and size of the tumors in the urinary bladder and left ureter from March 1994 – March 2012.
Mentions: The case of an elderly lady from the area affected by BEN is presented. The lady was born in 1929 in a small village in south eastern Serbia; she has never smoked. In March 1994 she underwent her first transurethral resection (TUR) of a bladder tumor. A pathological examination revealed transitional cell cancer (TCC) stage Ta, grade G1. Over the next 20 years the woman had 24 recurrent low–grade BTs and five ureteroscopic fulgurations for about 30 urothelial tumors in the left ureter (Figure 1).

Bottom Line: In these patients, the efficacy of conservative surgery is comparable to that of nephroureterectomy.The case of an 84-year-old lady from an area affected by BEN is presented.Among a highly select group of patients, endoscopic treatment of multiple small superficial low-grade ureteral tumors may prove successful.

View Article: PubMed Central - PubMed

Affiliation: Clinical Center of Serbia, Urological Clinic, Belgrade, Serbia.

ABSTRACT
Ureteral urothelial tumors (UUT) are uncommon; their incidence is higher in areas affected by Balkan endemic nephropathy (BEN), with low-grade lesions prevalent. In these patients, the efficacy of conservative surgery is comparable to that of nephroureterectomy. Endoscopic treatment is indicated for single, small and low grade UUT, in older patients with significant comorbidity. The case of an 84-year-old lady from an area affected by BEN is presented. Over 20 years, the patient underwent five endoscopic interventions for multiple UUT, and numerous endoscopic interventions for recurrent bladder tumors. Among a highly select group of patients, endoscopic treatment of multiple small superficial low-grade ureteral tumors may prove successful.

No MeSH data available.


Related in: MedlinePlus