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转移性黑色素瘤累及近端输尿管。

Metastatic melanoma to the proximal ureter.

作者信息

DeSanto Matthew, Strait Robert, Zopp Jared, Brown Kevin, Deem Samuel

机构信息

Charleston Area Medical Center, Charleston, West Virgina, USA.

出版信息

Urol Case Rep. 2023 Aug 24;50:102543. doi: 10.1016/j.eucr.2023.102543. eCollection 2023 Sep.

DOI:10.1016/j.eucr.2023.102543
PMID:37664533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10474140/
Abstract

We present an exceptionally rare scenario of obstructive uropathy secondary to a ureteral mass. This case details a 68-year-old female with metastatic stage IIID melanoma of the right heel found to have a two cm right proximal ureteral mass with associated hydronephrosis. Pathology from ureteroscopic biopsy revealed metastatic melanoma to the ureter, creating a unique treatment quandary.

摘要

我们呈现了一例极为罕见的因输尿管肿物继发梗阻性尿路病的病例。该病例详细描述了一名68岁女性,其右足跟部患有转移性IIID期黑色素瘤,发现右侧输尿管近端有一个2厘米的肿物,并伴有肾积水。输尿管镜活检的病理结果显示输尿管存在转移性黑色素瘤,这带来了独特的治疗难题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c30/10474140/3aa73373df33/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c30/10474140/3aa73373df33/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c30/10474140/3aa73373df33/gr1.jpg

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本文引用的文献

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Diagnosis and Management of Non-Metastatic Upper Tract Urothelial Carcinoma: AUA/SUO Guideline.非转移性上尿路尿路上皮癌的诊断与管理:美国泌尿外科学会/泌尿外科学会指南
J Urol. 2023 Jun;209(6):1071-1081. doi: 10.1097/JU.0000000000003480. Epub 2023 Apr 25.
2
Robotic distal ureterectomy and re-implant for obstructing metastatic melanoma - surgical considerations in the palliative setting.机器人辅助远端输尿管切除术和再植入治疗转移性黑色素瘤 - 姑息性治疗中的手术考虑因素。
Can J Urol. 2022 Oct;29(5):11323-11325.
3
Impact of acute kidney injury on long-term adverse outcomes in obstructive uropathy.
急性肾损伤对梗阻性尿路病长期不良结局的影响。
Sci Rep. 2021 Dec 8;11(1):23639. doi: 10.1038/s41598-021-03033-0.
4
Overcoming Immune Evasion in Melanoma.克服黑色素瘤的免疫逃逸。
Int J Mol Sci. 2020 Nov 26;21(23):8984. doi: 10.3390/ijms21238984.
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Primary melanoma of the urinary tract; Clinicopathologic and molecular review of a case series.原发性尿路黑色素瘤;病例系列的临床病理和分子复习。
Pathol Res Pract. 2020 Sep;216(9):153095. doi: 10.1016/j.prp.2020.153095. Epub 2020 Jun 29.
6
Obstructive uropathy.梗阻性尿路病。
Clin Geriatr Med. 2009 Aug;25(3):437-43. doi: 10.1016/j.cger.2009.06.003.