scholarly journals Urothelial carcinoma of the fossa navicularis successfully treated with laser ablation and distal urethrectomy: A case report

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Khalid Assadiq ◽  
Ahmad Rimawi ◽  
Khaled Jebreen
Keyword(s):  
Case Report ◽  
Laser Ablation ◽  
Urothelial Carcinoma ◽  
Erectile Function ◽  
Tumor Recurrence ◽  
Holmium Laser ◽  
Urethral Discharge ◽  
Urothelial Carcinomas ◽  
Fossa Navicularis

Primary urothelial carcinomas very rarely arise from the fossa navicularis of the penis. They are rarely reported in the literature, with only 13 cases reported thus far. Herein, we present the case of a 34-year-old man with bloody urethral discharge due to a mass detected by cystourethroscopy in the fossa navicularis. Biopsy confirmed the diagnosis of noninvasive urothelial carcinoma. The patient was managed successfully with two sessions of holmium laser ablation, followed by distal urethrectomy. After the treatment, the patient's erectile function and continence were preserved, and no tumor recurrence was observed after 1 year of follow-up.

scholarly journals Comprehensive Treatment of Mediastinal Neuroendocrine Tumor: A Case Report

2021 ◽  
Author(s):  
Qi Yu ◽  
Zhen Li ◽  
Xinwei Han
Keyword(s):  
Case Report ◽  
Neuroendocrine Tumor ◽  
Surgical Resection ◽  
Neuroendocrine Tumors ◽  
Tumor Recurrence ◽  
Transcatheter Arterial Chemoembolization ◽  
Comprehensive Treatment ◽  
Drug Eluting ◽  
Arterial Chemoembolization

Abstract Neuroendocrine tumors in the mediastinum are relatively rare. We report a patient with mediastinal neuroendocrine tumor that was successfully resected after descending stage by drug-eluting embolic transcatheter arterial chemoembolization had been performed. No tumor recurrence was found in the 1-year follow-up after surgical resection.

scholarly journals Plasmacytoid Urothelial Carcinoma of the Bladder: Case Report and Review of the Literature

2019 ◽  
Vol 28 (04) ◽  
pp. 333-337
Author(s):  
Ángela Molina Barrera ◽  
Andrea Vásquez Franco ◽  
Andrés Felipe Aristizábal ◽  
David Correa Galeano ◽  
Manuel Cabrales Hessen
Keyword(s):  
Case Report ◽  
Urothelial Carcinoma ◽  
Case Series ◽  
Pelvic Lymphadenectomy ◽  
Ultrasound Finding ◽  
Invasive Potential ◽  
Aggressive Approach ◽  
Urothelial Carcinomas ◽  
Histological Variant ◽  
Carcinoma Of The Bladder

Introduction Plasmacytoid urothelial carcinoma (PUC) of the bladder is a rare histological variant, accounting for 1 to 3% of the invasive urothelial carcinomas, and it is typically aggressive. So far, it has not been well characterized, and the literature is based on reports and case series. Case Report A 70-year-old male patient presenting with 4 months of constitutional and urinary symptoms, with an ultrasound finding of bilateral hydronephrosis and diffuse thickening of the bladder walls. In the cystoscopy, trigone of infiltrated appearance, a biopsy wass performed, whose immunohistochemistry revealed a PUC. The abdominopelvic image showed an infiltrative lesion that compromised the muscle of the bladder and extended to the perivesical fat, without adequate plane of cleavage with the prostate and a single hypogastric adenopathy suspected of malignancy. It was classified as cT3b vs cT4aN1M0 (chest computed tomography [CT] negative for malignancy), and the patient was submitted to a radical cystoprostatectomy, extended pelvic lymphadenectomy and non-continent urinary diversion with ileal conduit. The pathology revealed a diffuse PUC with prostatic stromal involvement and 22 of 39 lymph nodes positive for malignancy. Finally, the patient presented a series of postoperative complications and died. Conclusion Plasmacytoid urothelial carcinoma of the bladder is a rare entity, characterized by high aggressiveness, an advanced stage at the time of diagnosis, and a poor prognosis. Currently, an aggressive approach is recommended due to its high invasive potential.

Effect of asymptomatic recurrence detection after nephroureterectomy on prognosis in patients with upper urinary tract urothelial carcinoma.

2016 ◽  
Vol 34 (2_suppl) ◽  
pp. 364-364
Author(s):  
Shingo Hatakeyama ◽  
Takahiro Yoneyama ◽  
Yasuhiro Hashimoto ◽  
Takuya Koie ◽  
Chikara Ohyama
Keyword(s):  
Overall Survival ◽  
Urinary Tract ◽  
Urothelial Carcinoma ◽  
Tumor Recurrence ◽  
Patient Survival ◽  
Upper Urinary Tract ◽  
Symptomatic Recurrence ◽  
The Impact ◽  
Urinary Tract Urothelial Carcinoma

364 Background: It is unknown whether routine follow up with body computed tomography (CT) to detect asymptomatic visceral recurrence after nephroureterectomy improves patient survival. We accessed the impact of follow up with body CT on patient survival after nephroureterectomy. Methods: A total 212 nephroureterectomy for upper urinary tract urothelial carcinoma were performed at our hospital between Feb 1995 and Oct 2015. All patients had regular follow up with chest x-ray, urine cytology and cystoscopy every 3 to 6 months, blood biochemical test, and CT of the chest and abdomen every 6 to 12 months. Additional examinations were required for symptomatic recurrence. We investigated the first site and date of tumor recurrence. Overall survival in patients with recurrence stratified by the mode of diagnosis (asymptomatic vs. symptomatic) was estimated using the Kaplan-Meier methods and compared with the log rank test. Cox proportional hazard regression models were used to evaluate the impact of the mode of diagnosing recurrence on survival. Results: A total 43 patients (20%) experienced recurrence after surgery, of whom 31 (72%) were asymptomatic and 12 (28%) were symptomatic. The most common symptoms at recurrence were pain in 7, hematuria in 2 , appetite loss in 1 , edema in 1 , palpable mass in 1, general malaise in 1 patients. Overall survival was not significantly different between in patients with asymptomatic vs. symptomatic recurrence; however, survival after tumor recurrence were better in patients with asymptomatic recurrence (P = 0.033). Moreover, multivariate analysis showed symptomatic recurrence was selected as a risk factor for overall survival after recurrence. Conclusions: Routine oncological follow up after nephroureterectomy for early detection of asymptomatic visceral recurrence was associated with patient survival. Further study is necessary to establish the optimal follow up regimen balancing the benefit of asymptomatic detection with the increased cost of routine surveillance.

Impact of Holmium Laser Enucleation of Prostate on Erectile Function: Results of 12 Months Follow-Up

2017 ◽  
Vol 7 (3) ◽  
pp. 65-69
Author(s):  
İlter ALKAN ◽  
Eyyüp Sabri PELİT ◽  
Halil Lütfi CANAT ◽  
Hasan Anıl ATALAY ◽  
Erhan ATEŞ ◽  
...  
Keyword(s):  
Erectile Function ◽  
Holmium Laser ◽  
Laser Enucleation ◽  
Holmium Laser Enucleation

scholarly journals Metastatic Prostate Adenocarcinoma Posing as Urothelial Carcinoma of the Right Ureter: A Case Report and Literature Review

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Tian-bao Huang ◽  
Yang Yan ◽  
Huan Liu ◽  
Jian-ping Che ◽  
Guang-chun Wang ◽  
...  
Keyword(s):  
Case Report ◽  
Urothelial Carcinoma ◽  
Specific Antigen ◽  
Skeletal Metastasis ◽  
Pathological Examination ◽  
Review Of The Literature ◽  
Skeletal Scintigraphy ◽  
Abnormal Signal ◽  
The Right

This is a case report of a 67-year-old patient with distant metastasis of prostate cancer to the right ureter which caused hydronephrosis. At the beginning, both of the cytology of the morning urine and imaging findings were consistent with urothelial carcinoma. Nephroureterectomy was subsequently performed. Interestingly, the pathological examination of the excised ureter revealed that the malignancy was derived from the prostate. No skeletal metastasis was detected. However, after four months of follow-up, several abnormal signal shadows were reported in skeletal scintigraphy and the prostate specific antigen (PSA) was gradually increasing. We present such a case for its unique presentation. A review of the literature is also provided.

scholarly journals A Retroperitoneal Inflammatory Pseudotumor involving Duodenum: A Case Report and Review of literature

2018 ◽  
Vol 28 (2) ◽  
pp. 61-63
Author(s):  
MM Sarker ◽  
MS Ali ◽  
MK Sarker ◽  
NA Perveen
Keyword(s):  
Case Report ◽  
Tumor Recurrence ◽  
Inflammatory Pseudotumor ◽  
Primary Repair ◽  
Review Of Literature ◽  
Complete Surgical Resection ◽  
Rare Lesion ◽  
Unclear Etiology ◽  
Upper Abdomen

Inflammatory pseudotumor or (IPT) is a rare lesion of unclear etiology reported in various organs. Although mostly benign, these tumor may pose a therapeutic challenge in cases of recurrence. We report the case of a 65- years -old male who presented with a mass in the left upper abdomen and upon evaluation was noted to have IPT in the retro-peritoneum involving the duodenum. Complete surgical resection was done with primary repair of the 3rd part of the duodenum with no evidence of tumor recurrence on 6 months follow-up. We review the literature and discern the epidemiological, clinical, pathophysiological and management aspects of IPTs.TAJ 2015; 28(2): 61-63

scholarly journals Case Report: The Importance of Cystoscopic Evaluation and Management of Iatrogenic Lower Ureteric Injuries

2020 ◽  
pp. 1-3
Author(s):  
Struan Gray ◽  
Gkentzis A ◽  
Struan Gray
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Emergency Caesarean Section ◽  
Flank Pain ◽  
Holmium Laser ◽  
Stent Insertion ◽  
Urinary Drainage ◽  
The Right ◽  
Ureteric Injuries

Four days after emergency caesarean section, a 26-year-old lady presents with severe right flank pain and is found to have right hydronephrosis. A right nephrostomy was inserted, but antegrade stent insertion failed. Cystoscopy revealed two sutures obstructing the right intramural ureter. These sutures were removed via the cystoscope using Holmium LASER. Immediate and follow up investigations showed resolution of the injury and normal urinary drainage. This case highlights the importance of cystoscopic assessment of iatrogenic lower ureteric injuries, and its role in their management.

scholarly journals A novel approach with holmium laser ablation for endoscopic management of intrahepatic biliary stricture

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jianying Lou ◽  
Qida Hu ◽  
Tao Ma ◽  
Wei Chen ◽  
Ji Wang ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Biliary Stricture ◽  
Postoperative Mortality ◽  
Holmium Laser ◽  
Endoscopic Management ◽  
Technical Success Rate ◽  
Novel Approach ◽  
High Incidence ◽  
Perioperative Complication

Abstract Background Hepatolithiasis, featuring high incidence, severe symptoms, and common recurrence, poses a heavy disease burden. Endoscopic management provides an opportunity to cure hepatolithiasis, but fails to properly resolve biliary stricture without additional interventional techniques. An innovative approach towards endoscopic management of biliary stricture is required. Methods Holmium laser ablation was applied to biliary strictures via endoscopic access. Patients’ demographic, operative, and follow-up data after receiving holmium laser ablation were retrospectively collected for analysis. Results A total of 15 patients (4 males and 11 females) underwent stricture ablation by holmium laser via cholangioscopy. All the patients successfully received holmium laser ablation, indicating a technical success rate of 100%. No postoperative mortality or no major perioperative complication was observed. During the follow-up period, the recurrence-free rate was 73% at 2 years and 67% at 5 years. Conclusions We successfully developed a novel technique of biliary stricture removal by cholangioscopic holmium laser ablation with satisfying clinical outcomes.

scholarly journals Penile fracture with bilateral corporeal rupture and complete urethral disruption: case report and literature review

2013 ◽  
Vol 5 (2) ◽  
pp. 23
Author(s):  
Nathan A. Hoag ◽  
Kiara Hennessey ◽  
Alan So
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Erectile Function ◽  
Surgical Repair ◽  
Review Of The Literature ◽  
Penile Fracture ◽  
Rare Injury ◽  
Surgical Exploration ◽  
Corpora Cavernosa

Penile fracture is a rare injury most commonly sustained duringsexual intercourse. We report the case of a 35-year-old man whopresented with bilateral rupture of the corpora cavernosa andcomplete disruption of the urethra. A review of the literature onpenile fracture is also presented. Urgent surgical exploration wasperformed and the injuries repaired primarily. In follow-up, thepatient reported satisfactory erectile function. This case highlightsthe importance of early surgical repair and evaluation for concomitanturethral injuries in cases of penile fracture.

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