医学
肾盂
输尿管
袖口
上尿路
寒冷
癌
泌尿系统
化疗
移行细胞癌
泌尿科
输尿管肿瘤
膀胱
外科
癌症
内科学
膀胱癌
作者
Victor Ka-Siong Kho,Ping Shing Chan
出处
期刊:Journal of The Chinese Medical Association
[Ovid Technologies (Wolters Kluwer)]
日期:2010-03-01
卷期号:73 (3): 173-176
被引量:12
标识
DOI:10.1016/s1726-4901(10)70034-4
摘要
We report a case of primary extrapulmonary small cell carcinoma of the distal ureter, with a synchronous small cell carcinoma of the ipsilateral renal pelvis. These tumors, rarely reported in the urinary tract, are locally aggressive and have a poor prognosis. A 77-year-old male bedridden patient presented with fever and chills with left side-flank pain for 3 days. Following a diagnosis of ureteral urothelial carcinoma, hand-assisted laparoscopic nephroureterectomy with bladder cuff excision was carried out. Adjuvant chemotherapy was given after pathologic report of primary small cell carcinoma of the distal ureter and a synchronous small cell carcinoma of the ipsilateral renal pelvis. After 3 cycles of combination chemotherapy, the patient died 4 months postoperatively due to sepsis.
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