Ah Hamid Agus Rizal, Rahman Irham Arif, Umbas Rainy, Mochtar Chaidir Arif, Saraswati Meilania, Matondang Sahat
Department of Urology, Cipto Mangunkusumo General Hospital, Universitas Indonesia, Pangeran Diponegoro No 71, Jakarta, 10310, Indonesia.
Department of Anatomical Pathology, Cipto Mangunkusumo General Hospital, Universitas Indonesia, Pangeran Diponegoro No 71, Jakarta, 10310, Indonesia.
Urol Case Rep. 2021 Nov 11;40:101944. doi: 10.1016/j.eucr.2021.101944. eCollection 2022 Jan.
Radical nephroureterectomy (RNU) with bladder cuff removal is the treatment of choice for upper tract urothelial carcinoma (UTUC). Partial ureterectomy (PU) with ureteroureterostomy in this case has shown a good result. We herein report an elderly woman with adenocarcinoma colon complaining gross intermittent hematuria and solid ureteral mass on NCCT. Patient declined RNU, so we performed PU with ureteroureterostomy. Histology examination showed high-grade infiltrating urothelial carcinoma with negative margin. Four cycles of Gemcitabine and cisplatin were given. Routine follow up and evaluation were done without any mass progression. PU and ureteroureterostomy with adjuvant chemotherapy are an alternative procedure for UTUC.
根治性肾输尿管切除术（RNU）并切除膀胱袖口是上尿路尿路上皮癌（UTUC）的首选治疗方法。在这种情况下，部分输尿管切除术（PU）并行输尿管输尿管吻合术已显示出良好的效果。我们在此报告一名老年女性，患有结肠腺癌，主诉间断肉眼血尿，非增强CT（NCCT）显示输尿管实性肿块。患者拒绝接受RNU，因此我们进行了PU并行输尿管输尿管吻合术。组织学检查显示为高级别浸润性尿路上皮癌，切缘阴性。给予了四个周期的吉西他滨和顺铂治疗。进行了常规随访和评估，未发现任何肿块进展。PU并行输尿管输尿管吻合术及辅助化疗是UTUC的一种替代手术方法。
