Bilateral Nephroureterectomy with Radical Cystectomy for Urothelial Tumor Involving the Renal Pelvis, Ureter and Bladder in a Patient Receiving Hemodialysis.
10.4111/kju.2008.49.11.1046
- Author:
Kyeong Hoon LEE
1
;
Yong Hyeok CHOI
;
Soung Yong CHO
;
Han Sung KIM
;
In Rae CHO
Author Information
1. Department of Urology, College of Medicine, Inje University, Gimhae, Korea. ircho@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Kidney;
Dialysis;
Carcinoma;
Transitional cell;
Urinary tract
- MeSH:
Male;
Humans
- From:Korean Journal of Urology
2008;49(11):1046-1050
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transitional cell carcinoma such as renal cell carcinoma is the relatively common urinary tract cancer in patients who are on dialysis. A 66-year-old male patient, who had been on maintenance hemodialysis for 5 years, was suffering from gross hematuria. The subsequent image studies revealed multiple masses at the right renal pelvis, the right distal ureter and the trigonal area at the bladder. We performed cystoscopy to evaluate the multiple bladder papillary masses and their blood clots. The patient then underwent bilateral radical nephroureterectomy and radical cystectomy. Histological examination revealed the papillary urothelial carcinoma. Our case may imply that dialysis patients have an increased susceptibility to urological malignancies. Physicians should always raise the possibility of urological malignancy when encountering a dialysis patient with gross hematuria. Because of the high recurrence rate, a more extensive operation and aggressive follow-up protocols should be done for these patients on dialysis.