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Related Experiment Videos

[Ureteritis glandularis: a case report].

Y Takahashi1, H Komeda, M Horie

  • 1Department of Urology, Ogaki Municipal Hospital.

Hinyokika Kiyo. Acta Urologica Japonica
|June 1, 1988
PubMed
Summary
This summary is machine-generated.

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A rare ureteral tumor, diagnosed as poorly differentiated adenocarcinoma, was discovered during surgery for a kidney stone. The patient underwent successful treatment and remains recurrence-free, highlighting potential therapeutic strategies.

Area of Science:

  • Urology
  • Oncology
  • Pathology

Background:

  • Ureteral tumors are rare, often presenting with non-specific symptoms.
  • Glandular metaplasia in the ureter is a recognized precursor to adenocarcinoma.
  • Early detection and appropriate management are crucial for favorable outcomes.

Observation:

  • A 50-year-old male presented with fever and pyohematuria, leading to the discovery of a right ureteral stone.
  • During ureterolithotomy, a small, poorly differentiated adenocarcinoma was incidentally found at the ureteral stone site.
  • The patient subsequently underwent radical nephroureterectomy with bladder cuff resection.

Findings:

  • Pathological examination confirmed poorly differentiated adenocarcinoma with mitosis.
  • Post-operative specimens showed no residual malignancy or localized glandular ureteritis.

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  • The patient has remained disease-free with no evidence of recurrence.

    • Implications:

    • This case underscores the importance of thorough pathological examination during urological procedures.
    • Localized ureteral adenocarcinoma, even when small, necessitates aggressive surgical management.
    • Advancements in endourological techniques may offer novel approaches for diagnosis and follow-up of such rare lesions.