Endoscopic Treatment of a Ureteral Tumor
DOI:
https://doi.org/10.54212/27068048.v9i1.17Keywords:
urothelium, carcinoma, ureteroscopy, ablation techniques, lasersAbstract
OBJECTIVE: To present the case history of a patient diagnosed with a ureteral urothelial tumor treated with laser ablation. ANTECEDENTS: Upper urinary tract urothelial tumors are a rare entity, representing 5-10% of urothelial neoplasia. In the past decades preserving the renal unit in selected patients has given endoscopic treatment for these tumors an important role. MATERIAL AND METHODS: A 71 year-old-patient with a pelvic ureteral tumor. Imaging studies are reported and presented, as well as the surgery. A brief revision of the topic is made. RESULTS: The treatment utilized was ureteroscopy with laser ablation. The outcome was satisfactory. No local or vesical recurrence was found in the six- month follow up. CONCLUSIONS: Nephron-sparing surgery is an option for low grade, non-muscle invasive, localized upper urinary tract urothelial tumors. Laser ablation via ureteroscopy is one of the techniques utilized when the tumor is located in the distal ureter. After this treatment, patients require a strict follow-up.
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Copyright (c) 2021 Tania González León, Michel Hernández Campoalegre, Maykel Quintana Rodríguez, María Rodríguez Cabrera, Roberto Sánchez Tamaki & Mariano Castillo Rodríguez
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