ISSN |
2307-8960 (online) |
Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
Copyright |
Copyright: © The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. |
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Medicine, Research & Experimental |
Manuscript Type |
Case Report |
Article Title |
Metachronous urothelial carcinoma in the renal pelvis, bladder, and urethra: A case report
|
Manuscript Source |
Unsolicited Manuscript |
All Author List |
Jian-Qing Zhang, Yu Duan, Kun Wang, Xiao-Li Zhang and Ke-Hua Jiang |
ORCID |
|
Funding Agency and Grant Number |
Funding Agency |
Grant Number |
National Natural Science Foundation of China |
82060462 |
The Science and Technology Plan Project of Guizhou Province |
[2019]5405 |
Foundation of Health and Family Planning Commission of Guizhou Province |
gzwjkj2019-1-127 |
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Corresponding Author |
Ke-Hua Jiang, MD, Professor, Department of Urology, Guizhou Provincial People’s Hospital, No. 52, Zhongshan East Road, Nanming District, Guiyang 550002, Guizhou Province, China. tjjkh@sina.com |
Key Words |
Upper urinary tract urothelial carcinoma; Bladder urothelial carcinoma; Urethral urothelial carcinoma; Treatment; Case report |
Core Tip |
Urothelial carcinoma (UC) is a common malignancy in the urinary system, and typically grows from multiple foci. UC is most common in the bladder, and upper urinary tract UC (UTUC) is rare. We describe a male who initially presented at a local hospital in 2015 at the age of 70 years with a complaint of painless hematuria. The doctors diagnosed UTUC of the right renal pelvis. After radical nephroureterectomy and bladder cuff excision, the doctors recommended intravesical chemotherapy and regular follow-up, but he rejected this advice. He presented at our hospital again with dysuria in 2016. We identified UC in the residual bladder and performed radical cystectomy and left cutaneous ureterostomy. Unfortunately, he presented again with urethral orifice bleeding in 2021, and we identified urethral UC as the cause. We thus administered radical urethrectomy. Since this last surgery, he has received regular 6-mo follow-ups and has remained in a stable condition. Treatment for upper UTUC should include adjuvant instillation as immunotherapy and intense surveillance. |
Publish Date |
2023-04-25 09:58 |
Citation |
Zhang JQ, Duan Y, Wang K, Zhang XL, Jiang KH. Metachronous urothelial carcinoma in the renal pelvis, bladder, and urethra: A case report. World J Clin Cases 2023; 11(13): 3062-3069 |
URL |
https://www.wjgnet.com/2307-8960/full/v11/i13/3062.htm |
DOI |
https://dx.doi.org/10.12998/wjcc.v11.i13.3062 |