ABSTRACT
A 77-year-old woman who had never lived in a tropical area was referred to our hospital in November 2006 because of hypoproteinemia and chyluria. Cystoscopy revealed milky urine flowing from left ureteral orifice. Computed tomography showed small lymph nodes around the left side of the aorta but no carcinoma could be seen. We diagnosed her with idiopathic chyluria and recommended low fatty meals, but chyluria did not disappear. In March 2007 povidone iodine was instilled retrogradedly and chyluria disappeared immediately. As of December 2007, chyluria has not recurred.
Subject(s)
Anti-Infective Agents, Local/administration & dosage , Chyle , Povidone-Iodine/administration & dosage , Urinary Bladder Diseases/drug therapy , Aged , Female , Humans , Instillation, Drug , Kidney Pelvis , Treatment Outcome , UrineABSTRACT
A 67-year-old woman was referred to our hospital in April 2003 because of a bladder tumor. Cystoscopy revealed a thumb tip size and wide based papillary tumor. TUR-Bt was performed. Histologically, the tumor was UC, G3 and pT1. There was no recurrence of tumor in bladder after that. 3 years later, she was referred again with high serum levels of CA19-9 and CEA. Computed tomography showed bilateral lymph node swelling in the pelvis. An open biopsy of the lymph node was done and it contained UC with a micropapillary component. Radiation therapy achieved completely response. Serum levels of CA19-9 and CEA were within normal limits. She has never had a recurrence of tumor until July 2007.
Subject(s)
Carcinoma, Papillary/radiotherapy , Urinary Bladder Neoplasms/radiotherapy , Aged , Biomarkers, Tumor/blood , CA-19-9 Antigen/blood , Carcinoembryonic Antigen/blood , Carcinoma, Papillary/diagnosis , Carcinoma, Papillary/secondary , Female , Humans , Lymphatic Metastasis , Radiotherapy Dosage , Tomography, X-Ray Computed , Treatment Outcome , Urinary Bladder Neoplasms/diagnosis , Urinary Bladder Neoplasms/pathologyABSTRACT
A 78-year-old man underwent left total nephroureterectomy, and histopathological examination revealed renal cell carcinoma (RCC) of clear cell subtype. Multiple lung metastases were observed, and immunotherapy using IFN-alpha was introduced after the operation. Gross hematuria was seen 1 year after the operation, and cystoscopy revealed a submucosal tumor in the bladder. Transurethral resection of the tumor was performed, and pathological diagnosis was metastasis from the RCC. Six months later, he died because of multiple metastases of the tumor. Thirty cases of metastasis of RCC to the bladder, including our case, have been reported in Japan.
