Ureteral Cancer Developing in Retrocaval Ureter : A Case Report
Matsumura, Y.; Iemura, Y.; Fukui, S.; Kagebayashi, Y.; Samma, S.; Tsujimoto, S.; Okada, T.; Kanno, T.
Hinyokika Kiyo. Acta Urologica Japonica 64(1): 13-16
2018
ISSN/ISBN: 0018-1994 PMID: 29471598 Document Number: 697063
Ureteral cancer in the retrocaval ureter is rare. We herein report a patient with this condition laparoscopically treated. A 69-year-old man was referred to us because of right ureteral cancer diagnosed during ureteroscopic surgery for a ureteral calculus. Histological diagnosis of the ureteroscopically biopsied material was non-invasive papillary urothelial carcinoma, low grade (G2). Computed tomography (CT) demonstrated a retrocaval ureter : a double J stent placed during ureteroscopy assisted the diagnosis. The patient underwent retroperitoneoscopic complete nephroureterectomy on the right side. Sufficient separation of the right ureter and the inferior vena cava under retroperitoneoscopic procedures facilitated en bloc extirpation of the kidney and ureter with a minimal lower abdominal incision. The surgical procedures for ureteral cancer in the retrocaval ureter, should be preoperatively considered with care.