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[A case of bilateral upper urinary tract tumors after radical cystectomy]
J Matsuda1, M Kamizuru, H Bessho
1Department of Urology, Shirasagi Hospital.
Abstract:
We report a case of bilateral upper urinary tract tumors after total cystectomy. A 67-year-old male with multiple bladder tumors underwent total cystectomy and ileal conduit urinary diversion. Pathological diagnosis was transitional cell carcinoma, grade 3 (G3), pT1b. Followup urinary cytology continued to be negative. Percutaneous antegrade pyelography revealed multiple bilateral upper urinary tract tumors 21 months post-operatively. Bilateral nephroureterectomy and resection of ileal conduit were performed. Pathological examination revealed transitional cell carcinoma, G3 in bilateral pelvis and ureter. Routine careful examination is necessary after total cystectomy.