Obi-Njoku Obinna, Bell Chris, Menon Prashant Ravindran, Shergill Iqbal
Urology, Wrexham Maelor Hospital, Wrexham, UK.
Urology, Whittington Hospital, London, UK.
BMJ Case Rep. 2019 Aug 1;12(7):e229290. doi: 10.1136/bcr-2019-229290.
The ureter is an extremely rare site for small cell neuroendocrine carcinoma. We present a case of this disease in a patient who presented without urological symptoms. The multidisciplinary team proposed nephroureterectomy (if fit) or watchful waiting as management. After discussion with the patient a decision in favour of watchful waiting was made. We report her case including a review of the literature, and emphasise that although small cell neuroendocrine carcinomas can be very aggressive, they can remain asymptomatic.
输尿管是小细胞神经内分泌癌极为罕见的发病部位。我们报告一例该疾病患者,其就诊时无泌尿系统症状。多学科团队建议(若身体状况允许)行肾输尿管切除术或密切观察等待作为治疗方案。与患者讨论后,决定选择密切观察等待。我们报告该病例并复习文献,强调尽管小细胞神经内分泌癌可能具有很强的侵袭性,但它们也可能没有症状。