病歷報告以及相關文獻之回顧
張幼誠12、余家政2、吳東霖2
1高雄市立民生醫院 泌尿科
2高雄榮民總醫院 外科部 泌尿外科
 
Synchronous ipsilateral renal cell carcinoma and urothelial carcinoma of kidney or ureter : cases report and literature review
Yu-Cheng Chang12, Chia-Cheng Yu and Tony T. Wu
1Division of Urology, Kaohsiung Municipal Min-Sheng Hospital,
2Division of Urology, Department of Surgery, Kaohsiung Veterans General Hospital
 
Purpose:
We report 2 cases ( a 63-year-old female and a 60-year-old female ) were diagnosed of i Simultaneously ipsilateral urothelial carcinoma (UC) of upper urinary tract and renal
Cell carcinoma (RCC) had the symptoms of painless gross hematuria and confirmed by pathological document .
Materials and Methods:
In case 1 : The abdominal computed tomography (CT) scan was described as left upper third ureter tumor with extension to renal pelvis, measured about 4 cm in size, with post-contrast enhancement, urothelial cancer was considered. In case 2 : The abdominal computed tomography (CT) scan found a suspicious focal enhanced area is noted in right kidney, 1.5 cm, RCC cannot be excluded, the findings should be differentiated with infiltrated TCC in calyx.
Results:
In case 1 : She received the operation of anterior exenteration and the pathology showed urothelial carcinoma of left U/3 Ureter and clear cell type renal cell carcinoma. In case 2 : She received right nephroureterectomy with bladder cuff excision for urothelial carcinoma of renal pelvis and unclassified renal cell carcinoma.  
Conclusions:
The most symptoms of the synchronous RCC and UC are flank pain and gross hematuria. Synchronous RCC and UC of the same kidney is a rare condition and surgical intervention of radical nephroureterectomy with bladder cuff excision may be a curative treatment for clinically localized tumor.
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    TUA秘書處1
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    台灣泌尿科醫學會
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    非討論式海報
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    2015-05-25 20:49:00
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    2015-05-25 20:52:42
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