Upper Urinary Tract Urothelial Carcinoma Tumor Seeding along Percutaneous Nephrostomy Track: Case Report and Review of the Literature


Por: Schwartzmann, I, Pastore, AL, Sacca, A, Territo, A, Pisano, F, Maruccia, S, Breda, A, Palou, J

Publicada: 1 ene 2017
Resumen:
Upper urinary tract urothelial carcinomas (UTUC) account for 5-10% of all transitional cells neoplasms. Kidney-sparing treatment should be considered for low grade (LG) UTUC and for imperative conditions. Percutaneous approach may have a role in LG tumors not manageable endoscopically. Tumor seeding along nephrostomy track is a rare report. We describe the case of a 73-year-old male, with a history of high-grade UC of the left renal pelvis. A CT scan showed the thickening of left renal pelvic wall, and percutaneous biopsy was performed. The patient underwent laparoscopic left nephroureterectomy. Seven months later, he was admitted for leftflank pain due to a mass along the percutaneous track site. Mass en-bloc resection was performed, and histopathology finding demonstrated undifferentiated carcinoma, compatible with UTUC metastasis. The percutaneous approach should be considered to be the possible cause of tumor seeding. Multimodal therapy seems mandatory, as highlighted in our outcomes, with 5 years of recurrence free survival. (C) 2016 S. Karger AG, Basel

Filiaciones:
Schwartzmann, I:
 Univ Autonoma Barcelona, Fundacio Puigvert, Dept Urol, Barcelona, Spain

Pastore, AL:
 Univ Autonoma Barcelona, Fundacio Puigvert, Dept Urol, Barcelona, Spain

 Sapienza Univ Rome, Fac Pharm & Med, Urol Unit, Dept Med Surg Sci & Biotechnol, IT-04100 Latina, Italy

Sacca, A:
 Univ Autonoma Barcelona, Fundacio Puigvert, Dept Urol, Barcelona, Spain

 AO Giovanni Paolo XXIII, Dept Urol, Bergamo, Italy

Territo, A:
 Univ Autonoma Barcelona, Fundacio Puigvert, Dept Urol, Barcelona, Spain

 Univ Modena & Reggio Emilia, Dept Urol, Modena, Italy

Pisano, F:
 Univ Autonoma Barcelona, Fundacio Puigvert, Dept Urol, Barcelona, Spain

 Univ Turin, Dept Urol, Turin, Italy

Maruccia, S:
 Univ Autonoma Barcelona, Fundacio Puigvert, Dept Urol, Barcelona, Spain

 Policlin San Donato Milanese, Dept Urol, Milan, Italy

Breda, A:
 Univ Autonoma Barcelona, Fundacio Puigvert, Dept Urol, Barcelona, Spain

Palou, J:
 Univ Autonoma Barcelona, Fundacio Puigvert, Dept Urol, Barcelona, Spain
ISSN: 00421138





UROLOGIA INTERNATIONALIS
Editorial
KARGER, ALLSCHWILERSTRASSE 10, CH-4009 BASEL, SWITZERLAND, Suiza
Tipo de documento: Review
Volumen: 98 Número: 1
Páginas: 115-119
WOS Id: 000393358800018
ID de PubMed: 26982739

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