Dixon Ashley, Tretiakova Maria, Gore John, Voelzke Bryan B
University of Washington Medical School, USA.
Department of Pathology, University of Washington, USA.
Urol Case Rep. 2015 Dec 10;4:36-7. doi: 10.1016/j.eucr.2015.10.005. eCollection 2016 Jan.
Metastatic renal cell carcinoma (RCC) to the contralateral ureter is a rare phenomenon. We report a metastatic RCC to the contralateral ureter 5 months after right radical nephrectomy for Fuhrman grade 3/4 clear cell adenocarcinoma with pathologic T3 staging. The distal ureter was excised followed by partial ileal ureteral substitution. Pathology confirmed metastatic clear cell RCC Fuhrman grade 2/4. Ileal ureteral substitution has been shown to provide good long-term functional outcomes and should be considered as a possible option for surgical treatment of ureteral metastasis.
转移性肾细胞癌(RCC)转移至对侧输尿管是一种罕见现象。我们报告一例在因富尔曼3/4级透明细胞腺癌行右侧根治性肾切除术后5个月出现对侧输尿管转移的RCC病例,病理分期为T3期。切除远端输尿管后行部分回肠输尿管替代术。病理证实为转移性透明细胞RCC,富尔曼2/4级。回肠输尿管替代术已被证明能提供良好的长期功能结果,应被视为输尿管转移手术治疗的一种可能选择。