Case of inverted papillary urothelial carcinoma in the ureter

被引:0
|
作者
Nirei, Takuma [1 ]
Nakaigawa, Noboru [1 ]
Matsumura, Mai [2 ]
Kataoka, Toshiaki [2 ]
Nagasaka, Takahiro [1 ]
Aomori, Kota [1 ]
Ito, Yusuke [1 ]
Muraoka, Kentaro [1 ]
Yao, Masahiro [1 ]
机构
[1] Yokohama City Univ Med, Dept Urol, 3-9 Fukuura,Kanazawa Ku, Yokohama, Kanagawa 2360004, Japan
[2] Yokohama City Univ Med, Dept Pathol, Yokohama, Kanagawa, Japan
关键词
inverted papilloma; ureteral neoplasms; ureteroscopy; urologic neoplasms; urothelial carcinoma; GROWTH-PATTERN; URINARY-BLADDER; CLASSIFICATION; LESIONS; TUMORS;
D O I
10.1002/iju5.12403
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Urothelial neoplasms with a varus growth pattern are rare, and few urologists have encountered inverted urothelial carcinoma of the ureter. Case presentation: An 82-year-old man was referred to our hospital for investigation of gross hematuria. Magnetic resonance imaging revealed nodules measuring 1-2 mm in diameter in the left upper ureter with slight reduction in signal intensity on diffusion-weighted imaging. Ureteroscopy showed a pedunculated smooth tumor that had the appearance of an inverted papilloma rather than the papillary shape typical of urothelial carcinoma. The tumor was biopsied and histopathological examination revealed a noninvasive, low-grade urothelial carcinoma with inverted multiple layers. Laparoscopic radical nephroureterectomy was subsequently performed, and a pedunculated tumor measuring 20 mm in diameter was found in the left upper ureter. The histopathological diagnosis was inverted papillary urothelial carcinoma, low-grade, pTa, pN0. Conclusion: This report provides the first clinical description of inverted papillary urothelial carcinoma of the ureter.
引用
收藏
页码:95 / 98
页数:4
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