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PUC is common in the urinary tract. It
may occur in the urinary bladder and the collecting system of the upper urinary
tract, such as the renal pelvis and ureter. However, PUC of ureteral stump
after a nephrectomy is rare, and it’s even rarer in patients undergoing a
radical nephrectomy for RCC. We describe a female patient with painless gross
hematuria that was secondary to PUC of ureteral stump after a radical
nephrectomy for RCC diagnosed 6 years ago. We discuss the etiology, diagnosis
and treatment for PUC of ureteral stump following radical nephrectomy for RCC.
Thyroid tumors are
usually associated with euthyroidism, and hyper functioning tumors are rare.
There are few reports of carcinomas associated with hyperthyroidism. The aim of
this study is to describe a case of hyper functioning papillary carcinoma
associated with breast carcinoma. We present a 46-year-old woman that was
referred for investigation of thyroid and breast nodules detected by routine
ultrasound. She presented with hyperthyroidism and enlarged left thyroid lobe
with fibroelastic consistency. Investigation demonstrated papillary carcinoma
with follicular hyperactivity and invasive ductal carcinoma of the breast. The
patient developed metastases 6 months later and died. This study demonstrates
that hot thyroid nodules may harbor malignant tumors and should be punctured.
The association with breast adenocarcinoma and the unfavorable outcome suggest
higher aggressiveness of this tumor in the presence of hyperthyroidism.
We encountered a
63-year-old male with a sarcomatoid carcinoma of the penis accompanied by
metastasis to the bilateral inguinal lymph nodes and lungs. He noticed a penile
mass, but neglected it. The mass rapidly increased in size, forming an ulcer,
and began to disintegrate. He visited our hospital 4 months after noticing the
mass. After cystostomy and blood transfusion, surgical resection was performed.
A diagnosis of a squamous cell carcinoma with a sarcomatoid carcinoma of the
penis was made. After the operation, best supportive care (BSC) was selected.
We made efforts to maintain his quality of life (QOL), and he died 3 months
after the operation.
The patient was a
62-year-old female with bladder carcinoma. TUR-BT was performed in March 2010,
and the pathological finding was UC, G2 > G1, pTa. However, the cancer
recurred in the urinary bladder 3 months after TUR-BT. Radical cystectomy was
performed, and the disease was considered to have been cured, but metastasis
developed in the skin, lung, liver, and bone several months after surgery.
Chemotherapy was ineffective, and the patient died. On pathological examination
at the time of radical cystectomy, the lesion was sarcomatoid carcinoma of the
urinary bladder. Although the prognosis associated with this carcinoma is known
to be poor, the possibility of underestimation on preoperative staging cannot
be ruled out from the cause, in addition to the insufficiency of the current
Background: Fibrocystic disease of the
breast in one of the commonest diseases in
women above 30 years of age. The assumption of it being innocuous and benign is
questionable with increased incidence of malignancies developing in these
women. Introduction: Understanding the pathophysiology of fibrocystic disease
is essential for identifying determinants of malignant change. Case Report: A
case of carcinoma of breast developing in a longstanding and recurrent
fibrocystic disease is reported. Discussion: The pathological changes including
the influence of hormones on the natural history of the disease arediscussed to identify the
determinants of malignant transformation. Conclusion: Breast cyst fluid,
patterns of cellular lining of the cysts, multiplicity, recurrence and patterns
of cellular morphology are important determinants of malignant change.