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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

Intravenous urography presenting multiple tumors in the lower part of the left ureter (April 2009).
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Figure 0002: Intravenous urography presenting multiple tumors in the lower part of the left ureter (April 2009).

Mentions: The first ureteral tumor was seen during a routine cystoscopy, emerging from the left orifice. The tumor was biopsied and fulgurated: pathological examination revealed ureteral TCC, minimal TaGI. All further recurrent ureteral tumors were TaG1; they were discovered by URS after two and after five months and fulgurated immediately. Ten months after the appearance of the first ureteral tumor, intravenous urography (IVU) revealed the presence of multiple defects in the left ureter suggestive of tumors (Figure 2).


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)

Intravenous urography presenting multiple tumors in the lower part of the left ureter (April 2009).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0002: Intravenous urography presenting multiple tumors in the lower part of the left ureter (April 2009).
Mentions: The first ureteral tumor was seen during a routine cystoscopy, emerging from the left orifice. The tumor was biopsied and fulgurated: pathological examination revealed ureteral TCC, minimal TaGI. All further recurrent ureteral tumors were TaG1; they were discovered by URS after two and after five months and fulgurated immediately. Ten months after the appearance of the first ureteral tumor, intravenous urography (IVU) revealed the presence of multiple defects in the left ureter suggestive of tumors (Figure 2).

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