Case #5

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Expand Physical Exam


52-year-old female w/gross hematuria. L ureter filling defect seen on CT, IVP and retrograde pyelography, admitted for L nephroureterectomy.

Expand X-Rays & Scans


Abd/Pelvic CT: 12 to 15 mm intraluminal enhancing mass w/in the L ureter suspicious for neoplasm, especially transitional cell carcinoma. No regional/pelvic wall lymphadenopathy.

Cystoscopy/ L retrograde pyelography: no tumors seen in urethra or in bladder. L orifice easily visualized. Ureter at level of sacroiliac joint filling defect noted about 1cm and was persistent, did not appear to be air bubble. Ureter dilated in this region.

Expand Pathological Reports


L kidney and ureter: pedunculated G1 papillary transitional cell carcinoma of mid-ureter, noninvasive. Tumor measures 1 x 1 x 2 cm. L kidney normal.

Expand Treatment


Surgery: Left nephroureterectomy.