Transitional cell carcinoma in a fused crossed ectopic kidney

Nephroureterectomy is considered the reference standard treatment for invasive transitional cell carcinoma of the ureter. When this malignancy occurs in a patient with renal fusion anomaly, separating the involved kidney from its conjoint mate becomes a challenging task for the surgeon. We report a...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2003-10, Vol.62 (4), p.748-748
Main Authors: Gur, Uri, Yossepowitch, Ofer, Baniel, Jack
Format: Article
Language:English
Subjects:
Aged
Carcinoma, Transitional Cell - pathology
Carcinoma, Transitional Cell - surgery
Choristoma - surgery
Humans
Hydronephrosis - etiology
Kidney - abnormalities
Kidney - blood supply
Kidney - surgery
Male
Neoplasm Invasiveness
Nephrectomy - methods
Preoperative Care
Tomography, X-Ray Computed
Ureteral Neoplasms - pathology
Ureteral Neoplasms - surgery
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Summary:Nephroureterectomy is considered the reference standard treatment for invasive transitional cell carcinoma of the ureter. When this malignancy occurs in a patient with renal fusion anomaly, separating the involved kidney from its conjoint mate becomes a challenging task for the surgeon. We report a unique case in which a patient with an L-shaped left-to-right crossed ectopic kidney was diagnosed with invasive ureteral transitional cell carcinoma. The preoperative assessment in these uncommon cases should include renal angiography or computed tomography angiography to provide key information about the renal vasculature, which is essential for planning the surgical dissection and line of separation between the kidneys.
ISSN:0090-4295
1527-9995
DOI:10.1016/S0090-4295(03)00577-6