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429Vol. 9   |   No. 1   |   Winter 2012   |U R O LO G Y   J O U R N A L

Urothelial Carcinoma of the Ureter in a 
Patient with Functional Single Kidney
Farzaneh Sharifiaghdas, Mohammad Hossein Soltani, Mahmoudreza Nasiri

CASE PRESENTATION

A56-year-old man with a past history of left radical nephrectomy for clear cell months ago without any other accompanying symptoms. 
Physical examination was normal. The results of routine lab tests, including complete 
blood count and serum biochemistry, were within normal limits, except a serum creatinine 
level of 1.9 mg/dL.

-
dominopelvic computed tomography scan without intravenous contrast injection (Figures 

(Figure 3).
On cystoureteroscopy, a vegetative space occupying lesion was seen in the distal segment 

urine sample was obtained for cytology; and then cold cup biopsy was taken from the le-
sion. 
The result for cytology was positive for atypical cell, and pathologic examination showed 
low-grade transitional cell carcinoma.

QUIZ

The answers will be discussed in the next issue of Urology Journal.

Corresponding Author:

Farzaneh Sharifi Aghdas, 
MD 

Department of Urology, 
Shahid Labbafinejad Medi-

cal Center, 9th Boustan St., 
Pasdaran Ave., 16666-

94516, Tehran, Iran
Tel/Fax: +98 21 2258 8016 

E-mail: fsharifiaghdas@
yahoo.com 

Urology and Nephrology 
Research Center,  Shahid 

Labbafinejad Medical 
Center, Shahid Beheshti 

University of Medical Sci-
ences, Tehran, Iran

Figures 1 and 2. Computed tomography scan without contrast injection revealed hydro-
ureteronephrosis in the right side.

Figure 3. Retrograde 
pyelography revealed filling 
defect in the distal part of 
the ureter.

Cilinical Pathology Case