Locally advanced invasive urothelial cancer of the lower third of the ureter in a high-risk patient (clinical observation)
- Authors: Almyashev A.Z.1, Stepanov N.Y.2, Skopin P.I.3, Ivashin A.A.3, Gorgan I.V.3, Mayorov A.E.3
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Affiliations:
- Medical Institute, Ogarev Mordovia State University
- Republican Oncological Dispensary
- Ogarev Mordovia State University
- Issue: No 2 (2025)
- Pages: 41-50
- Section: SURGERY
- URL: https://journal-vniispk.ru/2072-3032/article/view/306555
- DOI: https://doi.org/10.21685/2072-3032-2025-2-4
- ID: 306555
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Abstract
Background. Urothelial carcinoma of the upper urinary tract is considered a rare pathology in the practice of a urologist or oncologist. This tumor is quite aggressive in na ture: for example, 60% of urothelial cancer cases at the time of diagnosis are represented by invasive forms. The diagnosis is difficult due to the absence of a specific clinical picture - the most common symptom is macro- or microhematuria. The purpose of the study is to provide an example of management tactics for a patient diagnosed with urothelial cancer of the upper urinary tract. Materials and Methods. This article presents our own clinical ob servation of a 70-year-old patient diagnosed with urothelial cancer of the ureter. Conclu sions. The gold standard of treatment of urothelial cancer is radical nephroureterectomy with pelvic lymphodissection on the side of the lesion. Indications for neoadjuvant and ad juvant therapy are determined collegially in each individual case.
About the authors
Ali Z. Almyashev
Medical Institute, Ogarev Mordovia State University
Author for correspondence.
Email: almyashev_2005@mail.ru
Candidate of medical sciences, associate professor of the sub-department of oncology with a course of radiation diagnostics and radiation therapy
(68 Bolshevistskaya street, Saransk, Russia)Nikita Yu. Stepanov
Republican Oncological Dispensary
Email: uro-stepanov@mail.ru
Candidate of medical sciences, oncologist of the department of abdominal oncology
(30 Ulyanova street, Saransk, Russia)Pavel I. Skopin
Ogarev Mordovia State University
Email: skopinpi@mail.ru
Doctor of medical sciences, professor, head of Medical Institute
(68 Bolshevistskaya street, Saransk, Russia)Artem A. Ivashin
Ogarev Mordovia State University
Email: a.iwashin2017@yandex.ru
Senior lecturer of the sub-department of oncology with a course of radiation diagnostics and radiation therapy, Medical Institute
(68 Bolshevistskaya street, Saransk, Russia)Irina V. Gorgan
Ogarev Mordovia State University
Email: irina.gorgan@yandex.ru
Postgraduate student, assistant of the sub-department of oncology with a course of radiation diagnostics and radiation therapy, Medical Institute
(68 Bolshevistskaya street, Saransk, Russia)Aleksandr E. Mayorov
Ogarev Mordovia State University
Email: sasha.mayorow@yandex.ru
Postgraduate student, assistant of the subdepartment of oncology with a course of radiation diagnostics and radiation therapy, Medical Institute
(68 Bolshevistskaya street, Saransk, Russia)References
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