Case 30-2009 -- A 77-Year-Old Man with Recurrent Transitional-Cell Carcinoma of the Ureter

doi:10.1056/NEJMcpc0900642

Volume 361:1292-1299		September 24, 2009		Number 13

Case 30-2009 — A 77-Year-Old Man with Recurrent Transitional-Cell Carcinoma of the Ureter

Donald S. Kaufman, M.D., W. Scott McDougal, M.D., Mukesh G. Harisinghani, M.D., and Chin-Lee Wu, M.D., Ph.D.

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Presentation of Case

Dr. Donald S. Kaufman: A 77-year-old man with a history of transitional-cellcarcinoma of the right ureter was seen in the multidisciplinaryurologic oncology clinic of this hospital because of a massin the left ureter and cytologic evaluations of urine specimensthat were positive for transitional-cell carcinoma.

Eight years earlier, after two episodes of gross hematuria,a diagnosis of transitional-cell carcinoma of the right renalpelvis was made at another hospital. Right nephroureterectomywas performed; pathological examination revealed a transitional-cellcarcinoma of the renal pelvis, stage T3, extending through themuscularis into the peripelvic fat and renal parenchyma, with. . . [Full Text of this Article]

Discussion of Management

Pathological Discussion

Discussion of Management

Pathological Discussion

Anatomical Diagnoses

Source Information

From the Hematology–Oncology Division, Department of Medicine (D.S.K.), and the Departments of Urology (W.S.M.), Radiology (M.G.H.), and Pathology (C.-L.W.), Massachusetts General Hospital; and the Departments of Medicine (D.S.K.), Urology (W.S.M.), Radiology (M.G.H.), and Pathology (C.-L.W.), Harvard Medical School.