URINARY Section 10: Uretereal Masses Flashcards
Transitional Ceil Carcinoma (Urotiielial Carcinoma)
“goble” or “champagne glass” CT IVP
What part of the ureter is more likely to have cancer?
Where the urine sits static.
Bladder (100x) > Renal pelvis (2x-3x) > Ureter
If you are getting cancers in the ureter than you probably also have them in the bladder
the least common location for TCC o f the urinary tract
Ureter
If you have upper tract TCC there is a 40% chance of developing a
bladder TCC
Ureteral mass + schistosomiasis
Squamous cell
This is a benign entity presents as a filling defect in the renal pelvis or proximal ureter - which mimics a TCC (blood clot or radiolucent stone).
Fibroepitlielial Polyp
The diagnosis is typically made post nephrectomy - since the assumption is nearly always TCC.
renal pelvis filling defects should always be assumed to be
Clot
Calcium
Cancer
Younger (30-40)
Smooth / Oblong
Mobile
Polyp
Older (60-70)
Irregular
Fixed
TCC