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A 43-year-old man was admitted to the hospital because of hemoptysis and dyspnea.
The patient had been well until 28 months earlier, when pain in the right flank and hematuria developed. Cytologic examination of the urine showed malignant tumor cells. An intravenous urographic study revealed a tumor in the right ureter and renal pelvis. A computed tomographic (CT) scan of the abdomen disclosed no evidence of metastatic disease. A right nephroureterectomy was performed, with a finding of grade 3 (poorly differentiated), papillary transitional-cell carcinoma that involved the ureter and renal pelvis; the tumor was classified as stage T3, N0. A
Differential Diagnosis
Metastatic Transitional-Cell Carcinoma
Pulmonary Embolic Disease
Drug Toxicity
Alveolar Hemorrhage
Idiopathic Pulmonary Syndromes
Opportunistic Infections
Clinical Diagnoses
Dr. Deborah H. Markowitz's Diagnoses
Pathological Discussion
Anatomical Diagnosis
References
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