Mysterious visitor in the bladder: ureteral fibroepithelial polyp / Visitante misterioso en la vejiga: pólipo fibroepitelial ureteral
Arch. esp. urol. (Ed. impr.)
; 74(3): 359-362, Abr 28, 2021. ilus
Artigo
em Inglês
| IBECS
| ID: ibc-218203
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Objetives We present a unique casewith a ureteral fibroepithelial tumor originating from theureter, which could be confused with a bladder tumor onultrasound examination due to its movement in and out ofthe bladder.Methods:
In cystoscopy, a papillary tumor lesion emerging from the right ureteral orifice was seen. After scanningthe other quadrants, however, the tumor was not observedat the right ureteral orifice. It was then protruded back intothe bladder. The tumor was seen several times to protrudeinto the bladder and return to the ureter, possibly due toureteral peristalsis. Then, a semirigid ureteroscope was introduced through the right ureteric orifice, and the tumorwas excised in one piece using Holmium laser fiber with 365μm of diameter. The size of the removed tumor wasapproximately 8 cm long. A doublej stent of 4.8 Fr wasplaced in the ureter.Results:
The patient was discharged on the first day without complications. The fibroepithelial polyps of the ureter,which consist of the stroma of mesoderm origin, coveredwith histologically normal or hyperplastic urothelial epithelial cells, are extremely rare tumors. It is important to distinguish these polyps from urothelial cancers, since these twoentities are different in treatment and prognosis, althoughsimilar in symptoms and imaging procedures.Cconclusions:
Minimally invasive treatment techniquescan be safely applied in the treatment of such exceedinglyrare tumors.(AU)RESUMEN
Objetivo:
Presentamos un caso único detumor fibroepitelial ureteral originado en el uréter que sepuede confundir con un tumor vesical por ecografía debido al movimiento dentro y fuera de la vejiga.Métodos:
En la cistoscopia, se vió una lesión tumoralpapilar saliendo del meato ureteral. Después de mirar elresto de zona de la vejiga, dejamos de ver el tumor en elmeato ureteral derecho. Una vez más, protuía después,en la vejiga. Se realizó una ureteroscopia semirrígida yse quitó el tumor en una pieza con laser holmium de 365.El tumor tenía una longitud de 8 cm. Se colocó un catéterdoble J 4.8 Fr en el uréter.Resultados:
El paciente fue dado de alta en el primerdía postoperatorio sin complicaciones. El pólipo fibroepitelial del uréter consiste en estroma del mesodermo cubiertode histológica normal o hiperplásica. Estos tumores sonextremadamente raros. Es importante diferenciarlos de lostumores uroteliales ya que el tratamiento y pronóstico esdiferente, aunque los síntomas y las técnicas de imagenson parecidas.Conclusiones:
Las técnicas mínimamente invasivas sepueden aplicar a estos tumores tan poco comunes.(AU)
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Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Exame Físico
/
Pólipos
/
Bexiga Urinária
/
Neoplasias Fibroepiteliais
/
Cistoscopia
/
Pacientes Internados
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Arch. esp. urol. (Ed. impr.)
Ano de publicação:
2021
Tipo de documento:
Artigo
Instituição/País de afiliação:
Mugla Sıtkı Kocman University/Turkey