Transitional cell carcinoma of the upper ureter metastatic to the thoracic spine presenting as a spinal cord compression

被引：1

作者：

Larkin, J. O. ^{[1
]}

Cullen, I. M. ^{[1
]}

Kelleher, M. O. ^{[2
]}

Fitzgibbon, J. ^{[3
]}

Keohane, K. ^{[4
]}

O'Sullivan, M. G. J. ^{[2
]}

Rogers, E. ^{[1
]}

机构：

[1] Mercy Univ Hosp Cork, Dept Urol, Cork, Ireland

[2] Cork Univ Hosp, Dept Neurosurg, Cork, Ireland

[3] Mercy Univ Hosp Cork, Dept Pathol, Cork, Ireland

[4] Cork Univ Hosp, Dept Pathol, Cork, Ireland

来源：

THESCIENTIFICWORLDJOURNAL | 2008年 / 8卷

关键词：

transitional cell carcinoma; metastatic; spinal cord compression;

D O I：

10.1100/tsw.2008.43

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

We performed a left nephroureterectomy for a gentleman with transitional cell carcinoma of the upper ureter. Histological analysis revealed it to be a T1 lesion, but to be highly mitotically active. The gentleman defaulted on adjuvant therapy and defaulted on follow-up. He represented with symptoms of acute spinal cord compression and magnetic resonance imaging demonstrated a lesion at T6/7. Neurosurgical resection of the lesion showed it to be a metastatic deposit from the ureteric primary. Despite surgical debulking and subsequent radiotherapy to the lesion, the patient died secondary to metastatic complications. This case report is of interest to the surgeon as it demonstrates both the high metastatic potential of upper tract carcinomas and educates the surgeon on the presentation of acute spinal cord compression.

引用

页码：223 / 227

页数：5

共 14 条

[1] Factors affecting the survival of patients treated by standard nephroureterectomy for transitional cell carcinoma of the upper urinary tract [J].