Metachronous Bilateral Urothelial Carcinoma in a Patient wit
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A 62-year-old man presented to our ward for evaluation of right hydronephrosis found on imaging performed for a new onset acute or chronic kidney disease evaluation. Medical history revealed a sub-total colectomy performed for colon cancer 8 years ago and subsequent chemotherapy. Ureteroscopy revealed an intraureteric pappilary lesion found to be Transitional cell carcinoma (TCC) T2 high grade(HG) on histology. The patient underwent a right radical nephroureterectomy. 3 months later he presented with new onset acute or chronic kidney failure.Computed Tomography (CT) revealed left hydronephrosis and a suspected tumor in the left pelvis. Multiple lesions and a huge renal pelvic tumor were found on left ureteroscopy. Histology revealed TCC HG disease. The patient underwent a left nephroureterctomy and radical cystectomy and was put on hemodialysis....

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