[Ureteral cancer found in megaureter].
Yasuto Ohashi1, Hiroshi Maeda, Hazama Minoru
1The Department of Urology, Yodogawa Christian Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|July 12, 2011
Summary
A 74-year-old woman with bilateral megaureter was diagnosed with right ureteral cancer. Surgical removal was successful, with no recurrence after six months, highlighting effective treatment for this rare condition.
Area of Science:
- Urology
- Oncology
Background:
- Bilateral megaureter is a congenital condition affecting the ureters.
- Gross hematuria can indicate underlying urinary tract pathology.
Observation:
- A 74-year-old female with bilateral megaureter presented with gross hematuria.
- Initial diagnostic imaging (drip infusion pyelography, retropyelography) was inconclusive.
- Enhanced computed tomography (CT) and magnetic resonance-urography were utilized for diagnosis.
Findings:
- Enhanced imaging revealed right ureteral cancer with severe megaureter.
- Pathological examination confirmed urothelial carcinoma.
- Surgical intervention included right nephroureterectomy and partial cystectomy.
Implications:
- Early diagnosis and surgical intervention are crucial for managing ureteral cancer in patients with megaureter.
- This case demonstrates successful treatment outcomes without adjuvant chemotherapy.
- Further research into the management of rare urothelial carcinomas in the context of congenital anomalies is warranted.
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