Farah Mohamed, Al-Dhahir Wesam, Song Mosea, Mahmalji Wasim, Mohamed Ahmed
Urology, Wye Valley NHS Trust, Hereford, GBR.
Cureus. 2023 Aug 14;15(8):e43453. doi: 10.7759/cureus.43453. eCollection 2023 Aug.
Primary carcinoma in situ (CIS) solely affecting the ureter without concurrent involvement of the kidney or bladder is an exceptionally rare condition. This case report presents the clinical management of a 67-year-old male patient with primary ureteral CIS, highlighting the diagnostic workup, surgical approach, and postoperative outcomes. The diagnosis was established through the use of CT and ureteroscopy, leading to the decision for radical laparoscopic nephroureterectomy. Additionally, a comprehensive literature review was conducted to discuss the diagnostic challenges and management options for primary ureteral CIS.
单纯累及输尿管而无肾脏或膀胱同时受累的原发性原位癌（CIS）是一种极为罕见的情况。本病例报告介绍了一名67岁原发性输尿管CIS男性患者的临床管理，重点阐述了诊断检查、手术方法及术后结果。通过CT和输尿管镜检查确立诊断，进而决定行根治性腹腔镜肾输尿管切除术。此外，还进行了全面的文献综述，以探讨原发性输尿管CIS的诊断挑战和管理选择。
