Ureteral neoplasm

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Ureteral neoplasm
Cystoscopy image showing ureteral cancer
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Hematuria, flank pain, urinary tract infection
Complications	Hydronephrosis, renal failure
Onset	Typically in adults
Duration	Varies
Types	Transitional cell carcinoma, squamous cell carcinoma, adenocarcinoma
Causes	Smoking, chemical exposure, chronic inflammation
Risks	Smoking, family history, chronic urinary tract infections
Diagnosis	Cystoscopy, CT scan, MRI, biopsy
Differential diagnosis	Kidney stones, urinary tract infection, bladder cancer
Prevention	N/A
Treatment	Surgery, chemotherapy, radiation therapy
Medication	N/A
Prognosis	Depends on stage and type
Frequency	Rare
Deaths	N/A

A ureteral neoplasm is a type of tumor that occurs in the ureter, the duct that carries urine from the kidney to the bladder. These neoplasms can be benign or malignant, with the latter being more common. Malignant ureteral neoplasms are often transitional cell carcinomas, similar to those found in the bladder.

Types

Ureteral neoplasms are classified based on their nature:

• Benign neoplasms: These are non-cancerous growths that do not spread to other parts of the body. Examples include fibromas and leiomyomas.
• Malignant neoplasms: These are cancerous tumors that can invade surrounding tissues and metastasize. The most common type is transitional cell carcinoma, but squamous cell carcinoma and adenocarcinoma can also occur.

Symptoms

Symptoms of ureteral neoplasms may include:

• Hematuria (blood in the urine)
• Flank pain
• Urinary tract infections
• Hydronephrosis (swelling of a kidney due to urine buildup)

Diagnosis

Diagnosis of ureteral neoplasms typically involves:

• Imaging studies such as CT scans or MRIs
• Cystoscopy and ureteroscopy to visually inspect the ureter
• Biopsy to obtain tissue samples for histological examination

Treatment

Treatment options depend on the type and stage of the neoplasm:

• Surgical removal: This is the primary treatment for localized tumors. Techniques include ureterectomy or nephroureterectomy.
• Chemotherapy and radiation therapy: These may be used for advanced or metastatic cancers.
• Endoscopic resection: Minimally invasive removal of tumors via endoscopy.

Prognosis

The prognosis for ureteral neoplasms varies based on the type and stage of the tumor. Early detection and treatment generally lead to better outcomes. Malignant tumors have a higher risk of recurrence and metastasis, affecting long-term survival rates.

See also

• Bladder cancer
• Kidney cancer
• Transitional cell carcinoma