Department of Urology, National University Hospital, 5 Lower Kent Ridge Rd, Singapore
Case Report
Retroperitoneal Desmoid-type Fibromatosis of the Distal Ureter: A Discussion of the Imaging Differential Diagnoses
Author(s): Desmond Lim Shi Wei*, Edmund Chiong, Derrick Lian Wen Quan and Lim Mei Chin
A 42-year-old man in remission for chronic myeloid leukaemia (CML) was found to have worsening renal function. Computed Tomography (CT) of
the urinary system showed a soft tissue lesion of the right distal ureter which had an atypical appearance for primary malignancy. Due to concerns
of recurrence, further evaluation with contrast-enhanced Magnetic Resonance Imaging (MRI) was performed revealing the fibrous nature of the
lesion. Considering the resultant obstructive uropathy and the need to exclude recurrence of prior haematological malignancy, resection and
histological examination was performed. Resection of the affected segment of the right distal ureter was performed with reimplantion (Psoas Hitch)
and Heineke-Mikulicz Bladder reconstruction. Histological examination revealed desmoid-type fibromatosis involving the ureter which is extremely
rare. We presen.. Read More»
DOI:
10.37421/2684-4915.2022.6.214
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