Metastasis of renal cell carcinoma to the distal ureteral stump beyond recommended baseline surveillance duration

A 71-year-old male with history of clear cell renal cell carcinoma (RCC) 6-years status post nephrectomy presented for gross hematuria. Cystoscopy revealed a bulge of the right ureteral orifice, and transurethral resection confirmed RCC metastasis to the ureteral stump. Ureterectomy with bladder cuf...

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Main Authors: Alex Oserowsky, Devin Allison, Stephen Weinstein, Van Nguyen, Katie S. Murray
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442020301546
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author Alex Oserowsky
Devin Allison
Stephen Weinstein
Van Nguyen
Katie S. Murray
author_facet Alex Oserowsky
Devin Allison
Stephen Weinstein
Van Nguyen
Katie S. Murray
author_sort Alex Oserowsky
collection DOAJ
description A 71-year-old male with history of clear cell renal cell carcinoma (RCC) 6-years status post nephrectomy presented for gross hematuria. Cystoscopy revealed a bulge of the right ureteral orifice, and transurethral resection confirmed RCC metastasis to the ureteral stump. Ureterectomy with bladder cuff excision was performed, and the patient is currently undergoing aggressive imaging surveillance. This is the 57th case of metastasis of RCC to the ureteric stump, and this case occurred beyond baseline surveillance recommendation of five years. Potential mechanisms of metastasis of RCC are reviewed, and RCC surveillance is discussed.
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spelling doaj.art-aea19c5a3f04434b9328faa9b2551f4b2022-12-22T00:46:11ZengElsevierUrology Case Reports2214-44202020-09-0132101266Metastasis of renal cell carcinoma to the distal ureteral stump beyond recommended baseline surveillance durationAlex Oserowsky0Devin Allison1Stephen Weinstein2Van Nguyen3Katie S. Murray4University of Missouri School of Medicine, 1 Hospital Drive, Columbia, MO, 65212, USAUniversity of Missouri School of Medicine, 1 Hospital Drive, Columbia, MO, 65212, USADepartment of Surgery - Division of Urology, 1 Hospital Drive, MC 301C, Columbia, MO, 65212, USADepartment of Pathology and Anatomical Sciences, M263 Medical Science Building, 1 Hospital Drive, Columbia, MO, 65212, USADepartment of Surgery - Division of Urology, 1 Hospital Drive, MC 301E, Columbia, MO, 65212, USA; Corresponding author. 1 Hospital Drive, MC304, Columbia, MO, 65212, USA.A 71-year-old male with history of clear cell renal cell carcinoma (RCC) 6-years status post nephrectomy presented for gross hematuria. Cystoscopy revealed a bulge of the right ureteral orifice, and transurethral resection confirmed RCC metastasis to the ureteral stump. Ureterectomy with bladder cuff excision was performed, and the patient is currently undergoing aggressive imaging surveillance. This is the 57th case of metastasis of RCC to the ureteric stump, and this case occurred beyond baseline surveillance recommendation of five years. Potential mechanisms of metastasis of RCC are reviewed, and RCC surveillance is discussed.http://www.sciencedirect.com/science/article/pii/S2214442020301546Renal cell carcinomaUreteric metastasisRenal cell carcinoma surveillance
spellingShingle Alex Oserowsky
Devin Allison
Stephen Weinstein
Van Nguyen
Katie S. Murray
Metastasis of renal cell carcinoma to the distal ureteral stump beyond recommended baseline surveillance duration
Urology Case Reports
Renal cell carcinoma
Ureteric metastasis
Renal cell carcinoma surveillance
title Metastasis of renal cell carcinoma to the distal ureteral stump beyond recommended baseline surveillance duration
title_full Metastasis of renal cell carcinoma to the distal ureteral stump beyond recommended baseline surveillance duration
title_fullStr Metastasis of renal cell carcinoma to the distal ureteral stump beyond recommended baseline surveillance duration
title_full_unstemmed Metastasis of renal cell carcinoma to the distal ureteral stump beyond recommended baseline surveillance duration
title_short Metastasis of renal cell carcinoma to the distal ureteral stump beyond recommended baseline surveillance duration
title_sort metastasis of renal cell carcinoma to the distal ureteral stump beyond recommended baseline surveillance duration
topic Renal cell carcinoma
Ureteric metastasis
Renal cell carcinoma surveillance
url http://www.sciencedirect.com/science/article/pii/S2214442020301546
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