Ureteric lymphoma as a rare cause of right lower ureteric obstruction

Primary lymphoid neoplasms of the urinary tract are exceedingly rare, with only 21 cases being reported and comprising less than 5% of all primary extranodal lymphomas. We report a case of a 45-year-old man who presented with right flank pain and weight loss, and who was found to have a stricture in...

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Bibliographic Details
Published in:BMJ case reports 2016-01, Vol.2016, p.bcr2015213613
Main Authors: Sreenivas, Jayaram, Mallya, Ashwin, Karthikeyan, Vilvapathy Senguttuvan, Amirtham, Usha
Format: Article
Language:English
Subjects:
Antibodies, Monoclonal, Murine-Derived - therapeutic use
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Asia
Biopsy
Bone marrow
Chemotherapy
Constriction, Pathologic - diagnostic imaging
Cyclophosphamide - therapeutic use
Doxorubicin - therapeutic use
Histopathology
Humans
Indian Sub-Continent
Lymphatic system
Lymphoma
Lymphoma, Non-Hodgkin - drug therapy
Lymphoma, Non-Hodgkin - pathology
Male
Middle Aged
Pain
Patients
Prednisone - therapeutic use
Rare Disease
Tomography, X-Ray Computed
Tuberculosis
Ureter - pathology
Ureteral Neoplasms - complications
Ureteral Neoplasms - pathology
Ureteral Obstruction - diagnostic imaging
Ureteral Obstruction - etiology
Urogenital system
Vincristine - therapeutic use
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Summary:Primary lymphoid neoplasms of the urinary tract are exceedingly rare, with only 21 cases being reported and comprising less than 5% of all primary extranodal lymphomas. We report a case of a 45-year-old man who presented with right flank pain and weight loss, and who was found to have a stricture in the right lower ureter causing ureteral obstruction. Histopathology revealed lower ureteric non-Hodgkin lymphoma, which, on further evaluation, was found to be isolated ureteric lymphoma. The patient was doing well after six cycles of R-CHOP chemotherapy. This case is being reported as a rare cause of distal ureteric obstruction.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2015-213613