Urology, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK
Urology, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK.
BMJ Case Rep. 2021 Jun 9;14(6):e234901. doi: 10.1136/bcr-2020-234901.
Upper tract urothelial carcinoma represents a small proportion (5%-10%) of all urothelial cancers. Although there are several management options, in undifferentiated or high-risk cases, surgery in the form of nephroureterectomy is the gold standard. Horseshoe kidney is the most common congenital renal fusion anomaly affecting 1 in 400-600 patients. We present the case of a smoker in her mid-50s with an incidental finding of a papillary lesion in the right renal pelvis of her horseshoe kidney on CT scan. She went on to have endoscopic assessment confirming no other foci of disease. She was definitively managed with a robotic nephroureterectomy.
上尿路尿路上皮癌占所有尿路上皮癌的一小部分（5%-10%）。尽管有几种治疗选择，但在未分化或高危病例中，以肾输尿管切除术形式的手术是金标准。马蹄肾是最常见的先天性肾融合畸形，影响 400-600 名患者中的 1 名。我们报告了 1 例 50 多岁的吸烟者，在 CT 扫描中偶然发现其马蹄肾的右肾盂有乳头状病变。随后进行了内镜评估，确认没有其他病灶。她最终接受了机器人辅助肾输尿管切除术。
