Primary papillary mucinous adenocarcinoma of the ureter: a case report
10.3760/cma.j.cn112330-20221127-00634
- VernacularTitle:原发性输尿管乳头状黏液腺癌1例报告
- Author:
Xiaoxiang WAN
1
;
Wei JIAO
;
Jun ZHANG
;
Xilong WANG
;
Guowei SHI
Author Information
1. 复旦大学附属上海市第五人民医院泌尿外科，上海 200240
- Keywords:
Adenocarcinoma, mucinous;
Ureteral carcinoma;
Ureteral calculi
- From:
Chinese Journal of Urology
2023;44(7):542-543
- CountryChina
- Language:Chinese
-
Abstract:
The presence of adenocarcinoma in urothelium is rare and mucinous adenocarcinoma is even rarer. A case of primary ureteral papillary mucinous adenocarcinoma was reported. The patient was admitted to hospital due to dull pain in the left lumbar abdomen with abdominal distension for 2 years and aggravation with fever for 1 week. CT examination revealed left ureteral calculi, severe left renal hydronephrosis, and renal cortical atrophy. The diagnosis was left ureteral calculus with hydronephrosis and left renal dysfunction. Left kidney puncture and drainage were performed first, followed by laparoscopic nonfunctional nephrectomy and ureterolithotomy. The pathological diagnosis was left ureteral mucinous adenocarcinoma. The patient refused further adjuvant therapy and died 16 months after surgery due to extensive tumor metastasis.
