Austin J Urol. 2021; 7(2): 1069.
Mohammed M*, Dieudonné ZOJ*, Jaafar M, Soufiane E, Youness R, Mustapha A, Soufiane M, Fadl TM, El-Ammari JE, Jamal EM and Hassan FM
Urology Division, Teaching Hospital Hassan 2, Fez, Morocco
*Corresponding author: Mzyiene Mohammed, Urology Division, CHU Hassan 2, Fez, Morocco
Ziba Ouima Justin Dieudonné, Urology Division, CHU Hassan 2, Fez, Morocco
Received: June 26, 2021; Accepted: July 15, 2021; Published: July 22, 2021
Upper urinary tract urothelial carcinoma; Nephroureterectomy; Urothelial carcinoma; Prognostic factors
Upper Urinary Tract Urothelial Carcinoma (UTUC) remain rare. Radical Nephroureterectomy (RNU) is the Gold standard for management of these tumours. We are reporting a clinical image of a 45-year-old patient admitted in emergency for left lumbar pain (nephritic colic). The checkups requested computed tomography scanner showed a nephromegaly and left hydronephrosis upstream of a suspicious parietal thickening of the lumbar ureter with cortical and functional repercussion, neighborhood infiltration, and atypical lateral-aortic ganglia. Left lower calicial lithiasis of stasis, pancreatic nodular lesion and the left adrenal gland. The patient was a candidate for an open Radical Left Nephroureterectomy (RNU) (Figure 1).
Figure 1: Radical Nephroureterectomy (RNU) picture U (Ureter) R (Renal).
There are prognostic factors of tumors of the upper urinary excretory tract, which are the patient’s status, the preoperative, the operation and the anatomopathology . According to current literature data, the oncology outcomes of radical nephrouretrectomy by laparoscopic are lower than those of open RNU surgery .
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