Chondrosarcoma of Ureter in an Elderly Patient: A Case Report
Chondrosarcoma is a rare type of cancer that can affect the upper urinary tract. Because of its rarity, the clinical presentation of chondrosarcoma can be similar to other urinary tract conditions, such as renal colic, hematuria, and urothelial carcinoma. The primary treatment for chondrosarcoma is...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-02-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/59/3/454 |
| _version_ | 1797610308610555904 |
|---|---|
| author | Szu-Ying Pan Chien-Zhi Lai Wen-Chi Chen Yung-Hsiang Chen Che-Hung Lin Han Chang Chi-Ping Huang Ching-Chung Yeh |
| author_facet | Szu-Ying Pan Chien-Zhi Lai Wen-Chi Chen Yung-Hsiang Chen Che-Hung Lin Han Chang Chi-Ping Huang Ching-Chung Yeh |
| author_sort | Szu-Ying Pan |
| collection | DOAJ |
| description | Chondrosarcoma is a rare type of cancer that can affect the upper urinary tract. Because of its rarity, the clinical presentation of chondrosarcoma can be similar to other urinary tract conditions, such as renal colic, hematuria, and urothelial carcinoma. The primary treatment for chondrosarcoma is the surgical removal of the tumor, and radiation or chemotherapy may be used for advanced cases. However, because of the limited number of patients with this condition, there are no established guidelines for chemotherapy, and the outcomes are unclear. In this case, we present a 71-year-old female patient who was diagnosed with ureteral chondrosarcoma. She presented with abdominal pain and hydronephrosis, and a tumor was found beneath a small stone. The patient underwent nephroureterectomy and received oral fluorouracil chemotherapy due to the advanced stage of the disease. Fortunately, the patient survived, and at the 7 months post-operative follow-up there was no evidence of recurrence. In conclusion, the chondrosarcoma of the upper urinary tract is a rare condition that can be difficult to diagnose due to its similarity to other urinary tract conditions. Treatment typically involves the surgical removal of the tumor, with radiation or chemotherapy reserved for advanced cases. However, because of the limited number of patients, there are no established guidelines for chemotherapy, and the outcomes of treatment are unclear. |
| first_indexed | 2024-03-11T06:12:39Z |
| format | Article |
| id | doaj.art-c86f3eeebdce4f5d84e70dd3d64bb3c6 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T06:12:39Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-c86f3eeebdce4f5d84e70dd3d64bb3c62023-11-17T12:30:51ZengMDPI AGMedicina1010-660X1648-91442023-02-0159345410.3390/medicina59030454Chondrosarcoma of Ureter in an Elderly Patient: A Case ReportSzu-Ying Pan0Chien-Zhi Lai1Wen-Chi Chen2Yung-Hsiang Chen3Che-Hung Lin4Han Chang5Chi-Ping Huang6Ching-Chung Yeh7Department of Urology, China Medical University Hospital, Taichung 404332, TaiwanSchool of Medicine, College of Medicine, China Medical University, Taichung 404333, TaiwanDepartment of Urology, China Medical University Hospital, Taichung 404332, TaiwanGraduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 404333, TaiwanDivision of Oncology, Department of Internal Medicine, China Medical University Hospital, Taichung 404332, TaiwanSchool of Medicine, College of Medicine, China Medical University, Taichung 404333, TaiwanDepartment of Urology, China Medical University Hospital, Taichung 404332, TaiwanDepartment of Urology, China Medical University Hospital, Taichung 404332, TaiwanChondrosarcoma is a rare type of cancer that can affect the upper urinary tract. Because of its rarity, the clinical presentation of chondrosarcoma can be similar to other urinary tract conditions, such as renal colic, hematuria, and urothelial carcinoma. The primary treatment for chondrosarcoma is the surgical removal of the tumor, and radiation or chemotherapy may be used for advanced cases. However, because of the limited number of patients with this condition, there are no established guidelines for chemotherapy, and the outcomes are unclear. In this case, we present a 71-year-old female patient who was diagnosed with ureteral chondrosarcoma. She presented with abdominal pain and hydronephrosis, and a tumor was found beneath a small stone. The patient underwent nephroureterectomy and received oral fluorouracil chemotherapy due to the advanced stage of the disease. Fortunately, the patient survived, and at the 7 months post-operative follow-up there was no evidence of recurrence. In conclusion, the chondrosarcoma of the upper urinary tract is a rare condition that can be difficult to diagnose due to its similarity to other urinary tract conditions. Treatment typically involves the surgical removal of the tumor, with radiation or chemotherapy reserved for advanced cases. However, because of the limited number of patients, there are no established guidelines for chemotherapy, and the outcomes of treatment are unclear.https://www.mdpi.com/1648-9144/59/3/454chondrosarcomaureterfluorouracilnephroureterectomystone |
| spellingShingle | Szu-Ying Pan Chien-Zhi Lai Wen-Chi Chen Yung-Hsiang Chen Che-Hung Lin Han Chang Chi-Ping Huang Ching-Chung Yeh Chondrosarcoma of Ureter in an Elderly Patient: A Case Report Medicina chondrosarcoma ureter fluorouracil nephroureterectomy stone |
| title | Chondrosarcoma of Ureter in an Elderly Patient: A Case Report |
| title_full | Chondrosarcoma of Ureter in an Elderly Patient: A Case Report |
| title_fullStr | Chondrosarcoma of Ureter in an Elderly Patient: A Case Report |
| title_full_unstemmed | Chondrosarcoma of Ureter in an Elderly Patient: A Case Report |
| title_short | Chondrosarcoma of Ureter in an Elderly Patient: A Case Report |
| title_sort | chondrosarcoma of ureter in an elderly patient a case report |
| topic | chondrosarcoma ureter fluorouracil nephroureterectomy stone |
| url | https://www.mdpi.com/1648-9144/59/3/454 |
| work_keys_str_mv | AT szuyingpan chondrosarcomaofureterinanelderlypatientacasereport AT chienzhilai chondrosarcomaofureterinanelderlypatientacasereport AT wenchichen chondrosarcomaofureterinanelderlypatientacasereport AT yunghsiangchen chondrosarcomaofureterinanelderlypatientacasereport AT chehunglin chondrosarcomaofureterinanelderlypatientacasereport AT hanchang chondrosarcomaofureterinanelderlypatientacasereport AT chipinghuang chondrosarcomaofureterinanelderlypatientacasereport AT chingchungyeh chondrosarcomaofureterinanelderlypatientacasereport |