1999
Simultaneous bilateral renal pelvic tumors
Abstract: Background: A 72-year-old man was admitted with gross hematuria. Investigations revealed bilateral renal pelvic tumors. Methods/Results: Via a midline incision, left nephroureterectomy with bladder cuff resection was performed for the large left-sided tumor. The right small solitary right-sided tumor was endoscopically resected simultaneously. Histologically, both tumors were grade 2 transitional cell carcinomas without muscular invasion. Conclusion:There has been no evidence of recurrence or metastasis 30 mon…
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“…Petkovic reported on 45 patients with bilateral tumors, but he did not separate patients with synchronous tumors from those with metachronous tumors, nor did he report tumor stages or grades; nonetheless, 71% of patients in that study were alive 5 years after diagnosis. Most case studies also report favorable outcomes, but follow‐up for these cases typically is < 2 years 2–12. The most reasonable explanation for the observation of acceptable survival is that for most patients, small, low‐grade malignancies, which permitted local resection, were present on at least one side.…”
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confidence: 99%