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Eight-year follow-up of locally advanced lymphoepithelioma-like carcinoma at upper urinary tract: A case report

World Journal of Clinical Cases 2020年第19期8卷 4505-4511页

作者： Che H Yang Wei C Weng Yi S Lin Li H Huang Chin H Lu Chao Y Hsu Yen C Ou Min C Tung Department of Surgery Division of UrologyTungs'Taichung MetroHarbor HospitalTaichung City 435403Taiwan

BACKGROUND Urinary tract lymphoepithelioma-like carcinoma is rarely *** it is termed after lymphoepithelioma at the nasopharynx,it behaves more like high grade urothelial carcinoma by immunohistochemical *** published literatures focused on its rarity but few discussed results of long-term *** no available guidelines are applicable,we postulated that principles should be similar to that of urothelial carcinoma at urinary *** of now,this work features the longest follow-up of this cancer at the upper urinary *** SUMMARY A 63-year-old female had a chief complaint of intermittent left flank pain for 2 mo,along with accompanying symptoms including vomiting and body weight loss,about 7 kg over 2 *** data showed normocytic anemia,mildly poor renal function,and *** analysis showed mild *** tomography showed a 4.2-cm-width irregular mass over left renal pelvic and enlarged lymph node at the left renal ***-body bone scan was negative of active bone *** from ureteroscopy showed urothelial *** from laparoscopic nephroureterectomy with bladder cuff resection showed lymphoepithelioma-like carcinoma with muscular invasion(pT3).She took adjuvant chemotherapies of 2 cycles and full courses of radiation *** recurrence was observed with designed investigative *** Locally advanced urinary tract lymphoepithelioma-like carcinoma could benefit from nephroureterectomy and bladder cuff excision in terms of recurrence-free survival.

关键词： Urologic neoplasms pathology Kidney pelvis Tomography X-ray computed carcinoma mortality Kidney neoplasms mortality Case report

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