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題名 | Radiolucent Ureteral Stones or Ureteral Cancer?: A Case Report=輸尿管透光性結石或輸尿管癌?:病例報告 |
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作者姓名(中文) | 李坤峰; 鍾慧明; 羅富進; 吳澤民; 蔡永成; | 書刊名 | 臺灣泌尿科醫學會雜誌 |
卷期 | 20:3 2009.09[民98.09] |
頁次 | 頁137-139+151 |
分類號 | 416.274 |
關鍵詞 | 輸尿管癌; 透光性輸尿管結石; 血尿; 體外震波碎石術; 化學治療; Ureteral cancer; Radiolucent stone; Hematuria; Shoock-wave lithotripsy; Chemotherapy; |
語文 | 英文(English) |
英文摘要 | We report a case of ureteral cancer, an uncommon disease entity, which presented as a radiolucent ureteral stone, a common problem for urologists. This 72-year-old female suffered from acute left renal pain with gross hematuria. Intravenous pyelography suggested a radiolucent stone in the left-side distal ureter with obstructive uropathy. After failure of shock-wave lithotripsy, abdominal computed tomographic (CT) scanning showed that the left-side ureteral obstruction persisted with no ureteral stone. Diagnostic ureteroscopy identified a papillary tumor in the left distal ureter, but the biopsy was negative for malignancy. The patient underwent a left total nephroureterectomy with removal of the bladder cuff. The pathology was compatible with a locally advanced ureteral transitional cell carcinoma. She had a smooth postoperative recovery with adjuvant chemotherapy. We concluded that the possibility of an underlying ureteral tumor must be kept in mind when dealing with a possible radiolucent stone. |
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