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Bilateral synchronous transitional ureteral carcinoma: two additional cases.

R L Levine, R A Airhart

    Southern Medical Journal
    |December 1, 1977
    PubMed
    Summary
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    Bilateral synchronous transitional ureteral carcinoma is rare, with only 11 prior reports. This study adds two cases, highlighting low-grade, low-stage tumors and advocating for conservative surgery when bilateral disease is found.

    Area of Science:

    • Uro-oncology
    • Nephrology
    • Surgical Oncology

    Background:

    • Transitional cell carcinoma (TCC) of the ureter is uncommon.
    • Bilateral synchronous ureteral TCC is exceptionally rare, with limited case reports.
    • Early diagnosis and appropriate management are crucial for patient outcomes.

    Observation:

    • Two new cases of bilateral synchronous transitional ureteral carcinoma are presented.
    • These rare tumors were characterized as relatively low grade and low stage.
    • The contralateral ureter requires thorough evaluation in patients with unilateral ureteral tumors.

    Findings:

    • Bilateral synchronous ureteral TCC represents a distinct clinical entity.
    • Low grade and low stage are characteristic features of these rare tumors.

    Related Experiment Videos

  • Comprehensive evaluation of both ureters is essential upon diagnosis of unilateral disease.

    • Implications:

    • The findings underscore the importance of evaluating the contralateral ureter in patients with unilateral ureteral tumors.
    • Conservative surgical approaches are recommended for bilateral synchronous ureteral TCC to preserve renal function.
    • Increased awareness and reporting of such rare cases can improve understanding and treatment strategies for urothelial malignancies.