DOI: 10.36347/sasjs.2023.v09i11.008

Pages: 906-910

Upper urinary tract urothelial carcinomas (UTUC) are rare and predominantly male. They may be multifocal in around 30% of cases. They are of particular interest because of the difficulties involved in their diagnosis. We report a series of 08 patients collected in the urology department of the Hôpital Nord Franche-Comte (HNFC) in Trevenans between 01/2019 and 03/2022. There were 05 men (62.5%) and 03 women (37.5%) with an average age of 70.85 years. Clinical symptoms were dominated by low back pain in 04 patients (50%), haematuria in 2 patients (25%), and a combination of low back pain and haematuria in 1 patient (12.5%). The finding was fortuitous in 1 patient (12.5%). The uroscanner performed in all our Patients revealed ureteral lesions in 7 patients (87.5%), a combination of ureteral lesion and ureteropyelocalic dilatation (UPD) in 4 patients (50%) and a normal uroscanner in 1 patient (12.5%). Ultrasound was not performed in any of our patients. Cystoscopy revealed an infracentimetric polyp at the level of the bladder dome in 3 patients (37%), including 1 patient undergoing surveillance for UTUC and who had no history of bladder tumour; the other 2 were already being monitored for bladder tumour; a trigonal polyp measuring approximately 3cm in 1 patient (12.5%) who had a history of bladder tumour, an infracentimetric floor polyp in 1 patient (12.5%) who had no history of bladder tumour, and normal cystoscopy in the other 3 (37.5%). Ureteroscopy revealed a papillary lesion measuring approximately 1cm in the middle calyx of the right kidney in 1 patient (12.5%), a lesion of the pelvic ureter in 4 patients (50%) measuring approximately 1.5cm, 2cm, 3cm in the first 3 patients and a lesion occupying the entire pelvic ureter in the 4th patient; a lesion of the iliac ureter in 3 patients (37.5%) whose sizes are approximately 1cm, 2cm, and 4cm. Urine cytology showed a strong suspicion of a high-grade urothelial lesion in 2 patients (25%), an appearance of a low-grade ..