Publication: Promising Response of Paclitaxel in Metastatic Transitional Cell Carcinoma of Distal Ureter Complicated with Hydroureteronephrosis: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Ureteric carcinoma is the rarest of all urothelial malignancies, and little attention has been given to it. Palliation in these groups of patients is a dilemma in the clinics. Use of chemotherapeutic agents in ureteric carcinoma is a double edged sword, as these patients had already impaired renal function due to post-renal failure and nephrotoxic nature of most of the chemotherapeutic agents can further deteriorate the renal function, making the management approach, a relatively visionary task. Here, we present a case of a 77-year-old female with metastatic ureteric carcinoma locally complicated with hydroureteronephrosis, coming to us with gross haematuria, lower abdominal pain along with cough. Apart from age factor of the lady, presence of hydroureteronephrosis and pulmonary metastases was another challenge for us. Paclitaxel remains the mainstay of our treatment.
Description
Sajjad Ahmed Khan
Birat Medical College and Teaching Hospital, Biratnagar, Morang, Nepal
Santosh Sah
Birat Medical College and Teaching Hospital, Biratnagar, Morang, Nepal
Surya Bahadur Parajuli
Department of Community Medicine, Birat Medical College and Teaching Hospital, Biratnagar, Morang, Nepal
Sulav Sapkota
Department of Medical Oncology and Haematology, Birat Medical College and Teaching Hospital, Biratnagar, Morang, Nepal
Asmita Rayamajhi
Department of Medical Oncology and Haematology, Birat Medical College and Teaching Hospital, Biratnagar, Morang, Nepal
Keywords
Carcinoma, Case reports, Metastasis, Paclitaxel