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CK7-negative and CK20-Positive intestinal- type gastric adenocarcinoma metastasis to the bladder: A case report of an unprecedented phenotype ck7阴性和ck20阳性肠型胃腺癌转移至膀胱：一例前所未有的表型报告
IF 0.4
Urology Case Reports Pub Date : 2025-08-31 DOI: 10.1016/j.eucr.2025.103184
Ferhat Çoban , Merve Doğan
{"title":"CK7-negative and CK20-Positive intestinal- type gastric adenocarcinoma metastasis to the bladder: A case report of an unprecedented phenotype","authors":"Ferhat Çoban ,&nbsp;Merve Doğan","doi":"10.1016/j.eucr.2025.103184","DOIUrl":"10.1016/j.eucr.2025.103184","url":null,"abstract":"<div><div>The majority of bladder tumors (around 90 %) are urothelial carcinomas, while metastatic secondary tumors are extremely rare, comprising less than 2 % of cases. Gastric adenocarcinoma rarely metastasizes to the bladder, and these metastases typically exhibit a CK7-positive, CK20-negative phenotype. To date, there have been no reports of gastric cancer metastasis to the bladder that displays a CK7-negative and CK20-positive profile. This article presents a rare case of a patient who had previously undergone subtotal gastrectomy for gastric adenocarcinoma and later presented with macroscopic hematuria, where a CK7-negative, CK20-positive secondary adenocarcinoma was detected in the bladder.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103184"},"PeriodicalIF":0.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report 同时Mini-ECIRS和低能量TFL肾盂内切开术治疗复发性UPJO伴盆腔肾结石1例
IF 0.4
Urology Case Reports Pub Date : 2025-08-31 DOI: 10.1016/j.eucr.2025.103190
Manapol Rujithamkul, Kun Sirisopana, Surawach Piyawannarat, Yada Phengsalae, Premsant Sangkum, Wisoot Kongchareonsombat, Chinnakhet Ketsuwan
{"title":"Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report","authors":"Manapol Rujithamkul,&nbsp;Kun Sirisopana,&nbsp;Surawach Piyawannarat,&nbsp;Yada Phengsalae,&nbsp;Premsant Sangkum,&nbsp;Wisoot Kongchareonsombat,&nbsp;Chinnakhet Ketsuwan","doi":"10.1016/j.eucr.2025.103190","DOIUrl":"10.1016/j.eucr.2025.103190","url":null,"abstract":"<div><div>Recurrent ureteropelvic junction obstruction (UPJO) with renal calculi poses a surgical challenge. Miniature Endoscopic Combined Intrarenal Surgery (mini-ECIRS) with low-wattage Thulium Fiber Laser (TFL) enables simultaneous stone clearance and precise endopyelotomy. We report a case of a 51-year-old woman with recurrent UPJO and renal stones treated using mini-ECIRS and TFL-assisted retrograde endopyelotomy. Dual endoscopic access allowed effective stone fragmentation and accurate UPJ incision. Operative time was 75 min, with no complications. This case supports mini-ECIRS with low-energy TFL as a safe, single-session treatment for recurrent UPJO with renal stones.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103190"},"PeriodicalIF":0.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post-operative pre-sacral hematoma after percutaneous nerve evaluation: A case report 经皮神经术后骶前血肿评价1例
IF 0.4
Urology Case Reports Pub Date : 2025-08-31 DOI: 10.1016/j.eucr.2025.103188
Hannah Kuntz , Zachary Tully , Joe O. Littlejohn Jr.
{"title":"Post-operative pre-sacral hematoma after percutaneous nerve evaluation: A case report","authors":"Hannah Kuntz ,&nbsp;Zachary Tully ,&nbsp;Joe O. Littlejohn Jr.","doi":"10.1016/j.eucr.2025.103188","DOIUrl":"10.1016/j.eucr.2025.103188","url":null,"abstract":"<div><div>Sacral neuromodulation (SNM) is an effective treatment for refractory urinary conditions, including urge incontinence and urinary retention. Percutaneous nerve evaluation (PNE) is used to assess patient suitability for permanent SNM through temporary lead placement. While rare, complications such as hematomas can occur. This case report describes an acute pre-sacral hematoma following PNE lead placement in the absence of typical risk factors. Awareness of such rare complications can improve preparedness for management of potential adverse outcomes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103188"},"PeriodicalIF":0.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Urothelial carcinoma in situ of the entire urinary tract with invasion into seminal vesicle: A case report 侵袭精囊的全尿路原位尿路上皮癌1例
IF 0.4
Urology Case Reports Pub Date : 2025-08-31 DOI: 10.1016/j.eucr.2025.103185
Vivien Wei-Anne Hsu , Nicole Swarbrick , Hemant Kulkarni , Andrew Redfern , Cynthia Hawks , Alarick Picardo , Steve P. McCombie , Dickon Hayne
{"title":"Urothelial carcinoma in situ of the entire urinary tract with invasion into seminal vesicle: A case report","authors":"Vivien Wei-Anne Hsu ,&nbsp;Nicole Swarbrick ,&nbsp;Hemant Kulkarni ,&nbsp;Andrew Redfern ,&nbsp;Cynthia Hawks ,&nbsp;Alarick Picardo ,&nbsp;Steve P. McCombie ,&nbsp;Dickon Hayne","doi":"10.1016/j.eucr.2025.103185","DOIUrl":"10.1016/j.eucr.2025.103185","url":null,"abstract":"<div><div>Urothelial carcinoma in situ represents a high-grade, high-risk form of urothelial cancer which predominantly occurs within the bladder, rarely affecting other structures within the genitourinary system such as the seminal vesicle. Involvement could represent more advanced disease, necessitating more aggressive management. We present a case of CIS involving the entire urinary tract in a renal transplant patient who underwent a complete urinary tract extirpation (CUTE) for BCG-refractory CIS of the bladder. This case is unique, representing the first reported CUTE with malignant involvement of every site in the urinary tract.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103185"},"PeriodicalIF":0.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Uromodulin as a radiographic mimicker of renal cell carcinoma recurrence after partial nephrectomy 尿调素作为肾细胞癌部分切除后复发的影像学模拟物
IF 0.4
Urology Case Reports Pub Date : 2025-08-31 DOI: 10.1016/j.eucr.2025.103194
Kathryn E. McGonagle , Vikram S. Lyall , Cristina E. Taylor , Michael E. Rezaee
{"title":"Uromodulin as a radiographic mimicker of renal cell carcinoma recurrence after partial nephrectomy","authors":"Kathryn E. McGonagle ,&nbsp;Vikram S. Lyall ,&nbsp;Cristina E. Taylor ,&nbsp;Michael E. Rezaee","doi":"10.1016/j.eucr.2025.103194","DOIUrl":"10.1016/j.eucr.2025.103194","url":null,"abstract":"<div><div>Tamm-Horsfall protein (THP) is the most abundant protein in urine, yet its function remains incompletely understood. It has been hypothesized that THP contributes to the maintenance of urinary homeostasis. We report a case of a 71-year-old male with a history of renal cell carcinoma treated with partial nephrectomy in 2017. He represented 8 years later with an enlarging, <u>enhancing</u> renal mass concerning for recurrence. A radical nephrectomy was performed and revealed a benign specimen with a positive PAS stain, consistent with THP. To our knowledge this is the first report of THP deposition in the renal parenchyma after partial nephrectomy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103194"},"PeriodicalIF":0.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144989018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary renal synovial sarcoma with synchronous pulmonary metastases: A rare case report and review of diagnostic and management strategies 原发性肾滑膜肉瘤伴同步肺转移：一例罕见病例报告及诊断和治疗策略回顾
IF 0.4
Urology Case Reports Pub Date : 2025-08-31 DOI: 10.1016/j.eucr.2025.103187
Sri Saran Manivasagam , Max S. Yudovich , Guoli Chen , Eric Cochran , Alireza Aminsharifi
{"title":"Primary renal synovial sarcoma with synchronous pulmonary metastases: A rare case report and review of diagnostic and management strategies","authors":"Sri Saran Manivasagam ,&nbsp;Max S. Yudovich ,&nbsp;Guoli Chen ,&nbsp;Eric Cochran ,&nbsp;Alireza Aminsharifi","doi":"10.1016/j.eucr.2025.103187","DOIUrl":"10.1016/j.eucr.2025.103187","url":null,"abstract":"<div><div>Primary renal synovial sarcoma (SS) is an exceptionally rare malignancy, often indistinguishable from other renal tumors on imaging. We report a case of a 67-year-old male presenting with hematuria and a renal mass, later diagnosed as monophasic SS with synchronous pulmonary metastases. Diagnosis was confirmed through histopathology, immunohistochemistry, and cytogenetics. The patient underwent cytoreductive nephrectomy followed by adjuvant chemotherapy. This case highlights the diagnostic challenges and underscores the importance of a multidisciplinary approach in managing metastatic renal SS.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103187"},"PeriodicalIF":0.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Urethral stricture in a 46,XX male with congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency: A literature review and case report 46，XX男性先天性肾上腺增生症（CAH） 21-羟化酶缺乏导致尿道狭窄：文献复习并病例报告
IF 0.4
Urology Case Reports Pub Date : 2025-08-27 DOI: 10.1016/j.eucr.2025.103182
Laura Gallardo Zamora , Yesica Quiroz Madarriaga , Anna Bujons Tur , Antoni Sanchez i Puy , David Salinas Duffo , Juan Antonio Peña Gonzalez
{"title":"Urethral stricture in a 46,XX male with congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency: A literature review and case report","authors":"Laura Gallardo Zamora ,&nbsp;Yesica Quiroz Madarriaga ,&nbsp;Anna Bujons Tur ,&nbsp;Antoni Sanchez i Puy ,&nbsp;David Salinas Duffo ,&nbsp;Juan Antonio Peña Gonzalez","doi":"10.1016/j.eucr.2025.103182","DOIUrl":"10.1016/j.eucr.2025.103182","url":null,"abstract":"<div><div>Disorders of sex development in 46,XX male individuals are rare and present complex surgical challenges, particularly regarding urethral stricture following urethral surgery. We present a 46,XX individual raised male who underwent early urethral surgery and developed a urethral stricture in adulthood. Surgical repair was not feasible due to anatomy and comorbidities. A systematic review on the management of urethral strictures in this patient population was conducted. Only one case of successful buccal mucosa graft urethroplasty in a 46,XX male was found. This case underscores the scarcity of data and challenges in managing urethral strictures in virilized 46,XX individuals.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103182"},"PeriodicalIF":0.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rare case of complex perineal anomaly in a male neonate: Multistage surgical management 男性新生儿复杂会阴异常一例：多阶段手术处理
IF 0.4
Urology Case Reports Pub Date : 2025-08-26 DOI: 10.1016/j.eucr.2025.103179
Yasmine Houas , Fatma Thamri , Asma Guitouni , Riadh Jouini
{"title":"A rare case of complex perineal anomaly in a male neonate: Multistage surgical management","authors":"Yasmine Houas ,&nbsp;Fatma Thamri ,&nbsp;Asma Guitouni ,&nbsp;Riadh Jouini","doi":"10.1016/j.eucr.2025.103179","DOIUrl":"10.1016/j.eucr.2025.103179","url":null,"abstract":"<div><div>We present a rare case of a full-term male neonate with a complex perineal anomaly featuring a mucosa-lined cleft extending from the penile base to the right gluteal fold, accompanied by penoscrotal transposition, hemiscrotal hypoplasia, and hypospadias. The lesion's anatomical and histological characteristics suggest antenatal rupture of a rectal duplication cyst. This report highlights the diagnostic challenges of exteriorized rectal duplications and underscores the importance of multistage reconstruction for optimal functional and cosmetic outcomes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103179"},"PeriodicalIF":0.4,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case report 肾上腺海绵状血管瘤误诊为嗜铬细胞瘤1例
IF 0.4
Urology Case Reports Pub Date : 2025-08-26 DOI: 10.1016/j.eucr.2025.103181
Ziye Huang , Yuyun Wu , Wen Mei , Guang Wang , Chaohua Deng
{"title":"Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case report","authors":"Ziye Huang ,&nbsp;Yuyun Wu ,&nbsp;Wen Mei ,&nbsp;Guang Wang ,&nbsp;Chaohua Deng","doi":"10.1016/j.eucr.2025.103181","DOIUrl":"10.1016/j.eucr.2025.103181","url":null,"abstract":"<div><div>A case of a 62-year-old male presenting with persistent abdominal pain and hypertension is reported. Upon admission, elevated urinary vanillylmandelic acid and homovanillic acid levels were noted. Imaging revealed an 8.2 cm left adrenal mass, initially suspected as pheochromocytoma. Laparoscopic resection was performed. Pathology confirmed adrenal cavernous hemangioma (CD31/CD34+). The preoperative misdiagnosis resulted from the tumor's clinical features (hypertension, elevated catecholamine metabolites) and imaging characteristics mimicking pheochromocytoma.</div></div><div><h3>Conclusion</h3><div>Adrenal cavernous hemangioma is susceptible to preoperative misdiagnosis. Surgery provides definitive diagnosis and treatment.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103181"},"PeriodicalIF":0.4,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spinal cord compression as the initial presentation of de novo metastatic testicular seminoma: A rare and complex case 脊髓压迫作为转移性睾丸精原细胞瘤的最初表现：一个罕见而复杂的病例
IF 0.4
Urology Case Reports Pub Date : 2025-08-25 DOI: 10.1016/j.eucr.2025.103175
Jordan Santucci , Peter Stapleton , Jack West , Siyu Huang , Nathan Lawrentschuk , Stephen Brown , Robert Forsyth , Niranjan Sathianathen
{"title":"Spinal cord compression as the initial presentation of de novo metastatic testicular seminoma: A rare and complex case","authors":"Jordan Santucci ,&nbsp;Peter Stapleton ,&nbsp;Jack West ,&nbsp;Siyu Huang ,&nbsp;Nathan Lawrentschuk ,&nbsp;Stephen Brown ,&nbsp;Robert Forsyth ,&nbsp;Niranjan Sathianathen","doi":"10.1016/j.eucr.2025.103175","DOIUrl":"10.1016/j.eucr.2025.103175","url":null,"abstract":"<div><div>We report a 43-year-old man with de novo metastatic testicular seminoma complicated by paraplegia from spinal cord compression due to retroperitoneal lymphadenopathy. Urgent retroperitoneal biopsy confirmed seminoma and, after the patient declined neurosurgical intervention, systemic chemotherapy was promptly initiated prior to delayed orchidectomy. Post-chemotherapy orchidectomy histology revealed minimal viable tumour and serial imaging showed a residual retroperitoneal mass with low-grade uptake on FDG-PET. The mass was deemed unresectable, and surveillance was favoured over immediate salvage. This case highlights the importance of timely diagnosis, multidisciplinary care, and guideline-informed flexibility in managing advanced seminoma with rare complications such as spinal cord compression.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103175"},"PeriodicalIF":0.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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