Flores Marcos Rodrigo Saravia, Ruiz Mario Roberto Morales, Florian Roberto Elfidio Orozco, De Leon Werner, Jose Luis San
Hospital General San Juan de Dios, Departamento de Patologia, 8 ave 43-52 zona 12 monte maria 3, Guatemala, 01012, Guatemala.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.08.2008.0787. Epub 2009 Apr 17.
Verrucous carcinoma is a well differentiated squamous cell carcinoma with a well known histological appearance and clinical behaviour. We present a case of verrucous carcinoma extensively affecting the urothelium of the right renal pelvis, right ureter and urinary bladder over a 3-year period. This pan-urothelial involvement of a verrucous carcinoma has not been previously reported. The potential for regional spread with subsequent urinary tract obstruction by this tumour calls for aggressive local surgical treatment as the main modality of therapy.
疣状癌是一种分化良好的鳞状细胞癌,具有众所周知的组织学表现和临床行为。我们报告一例疣状癌病例,该病例在3年时间里广泛累及右肾盂、右输尿管和膀胱的尿路上皮。此前尚未报道过疣状癌这种累及整个尿路上皮的情况。该肿瘤具有局部扩散并随后导致尿路梗阻的可能性,这就需要积极采取局部手术治疗作为主要治疗方式。