https://doi.org/10.4081/aiua.2021.1.71

Oncology and complications

Vol. 93 No. 1 (2021)
Published: March 19, 2021
Ureter-arterial fistula; BCG; Pneumonitis; Bladder tumors; Cystectomy; Paraganglioma; Thrombotic thrombocytopenic purpura
Abstract Views: 1879
PDF: 1165
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Giuseppe Giordano
Unit of Diagnostic and Interventional Radiology, ARNAS “Garibaldi-Nesima”, Catania, Italy.
Evangelia Kyriazi
Endocrinology Department, General Hospital of Athens “G. Gennimatas”, Athens, Greece.
Charalampos Mavridis
Department of Urology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, Greece.
Francesco Persico
Humanitas Clinical and Research Center - IRCCS, Department of Urology, Rozzano, Milan; University of Naples Federico II, Department of Neurosciences, Sciences of Reproduction, and Odontostomatology, Naples, Italy.
Charalampos Fragkoulis
Urology Department, General Hospital of Athens “G. Gennimatas”, Athens, Greece.
Piergiorgio Gatto
Ospedale di Sestri Levante - ASL 4 Liguria, Dipartimento Medico ad Elevata Integrazione Territoriale, Sestri Levante, Italy.
George Georgiadis
Department of Urology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, Greece.
Irene Giagourta
Endocrinology Department, General Hospital of Athens “G. Gennimatas”, Athens, Greece.
Ioannis Glykas
Urology Department, General Hospital of Athens “G. Gennimatas”, Athens, Greece.
Rodolfo Hurle
Humanitas Clinical and Research Center - IRCCS, Department of Urology, Rozzano, Milan, Italy.
Massimo Lazzeri
Humanitas Clinical and Research Center - IRCCS, Department of Urology, Rozzano, Milan, Italy.
Giovanni Lughezzani
Humanitas Clinical and Research Center - IRCCS, Department of Urology, Rozzano, Milan; Humanitas University, Department of Biomedical Sciences, Rozzano, Milan, Italy.
Vincenzo Magnano San Lio
Unit of Diagnostic and Interventional Radiology, ARNAS “Garibaldi-Nesima”, Catania, Italy.
Charalampos Mamoulakis
Department of Urology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, Greece.
Diego Meo
Unit of Diagnostic and Interventional Radiology, ARNAS “Garibaldi-Nesima”, Catania, Italy.
Helen A. Papadaki
Department of Hematology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, Greece.
George Piaditis
Endocrinology Department, General Hospital of Athens “G. Gennimatas”, Athens, Greece.
Charalampos Pontikoglou
Department of Hematology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, Greece.
Georgios Stathouros
Urology Department, General Hospital of Athens “G. Gennimatas”, Athens, Greece.

This collection of cases describes some unusual urological tumors and complications related to urological tumors and their treatment.

Case 1: A case of uretero-arterial fistula in a patient with long-term ureteral stenting for ureteral oncological stricture and a second case associated to retroperitoneal fibrosis were described. Abdominal CT, pyelography, cystoscopy were useful to show the origin of the bleeding. Angiography is useful for confirming the diagnosis and for subsequent positioning of an endovascular prosthesis which represents a safe approach with reduced post-procedural complications.

Case 2: A case of patient who suffered from interstitial pneumonitis during a cycle of intravesical BCG instillations for urothelial cancer. The patient was hospitalized for more than two weeks in a COVID ward for a suspected of COVID-19 pneumonia, but he did not show any evidence of SARS-CoV-2 infection during his hospital stay.

Case 3: A case of a young man with a functional urinary bladder paraganglioma who was successfully managed with complete removal of the tumor, leaving the urinary bladder intact.

Case 4: A case of a 61 year old male suffering from muscle invasive bladder cancer who was admitted for a radical cystectomy and on the eighth postoperative day developed microangiopathic hemolytic anemia and thrombocytopenia, which clinically defines thrombotic microangiopathy.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Moschowitz A. Simultaneous ligation of both external iliac arteries for secondary hemorrhage following bilateral ureterolithotomy. Ann Surg. 1908; 48:872-5. DOI: https://doi.org/10.1097/00000658-190812000-00009
Van den Bergh RC, Moll FL, de Vries JP, et al. Arterioureteral fistulas: unusual suspects systematic review of 139 cases. Urology. 2009; 74:251-5. DOI: https://doi.org/10.1016/j.urology.2008.12.011
Krambeck AE, DiMarco DS, Gettman MT, et al. Ureteroiliac artery fistula: diagnosis and treatment algorithm. Urology. 2005;66:990-4. DOI: https://doi.org/10.1016/j.urology.2005.05.036
Fox JA, Krambeck A, McPhail EF, et al. Ureteroarterial fistula treatment with open surgery versus endovascular management: long-term outcomes. J Urol. 2011; 185:945-50. DOI: https://doi.org/10.1016/j.juro.2010.10.062
Arts RJW, et al. BCG Vaccination Protects against Experimental Viral Infection in Humans through the Induction of Cytokines Associated with Trained Immunity. Cell Host Microbe. 2018; 23:89-100.e5. DOI: https://doi.org/10.1016/j.chom.2017.12.010
Malmstrom PU, et al. An individual patient data meta-analysis of the long-term outcome of randomised studies comparing intravesical mitomycin C versus bacillus Calmette-Guerin for nonmuscleinvasive bladder cancer. Eur Urol. 2009; 56:247. DOI: https://doi.org/10.1016/j.eururo.2009.04.038
Redelman-Sidi G, Glickman MS, Bochner BH. The mechanism of action of BCG therapy for bladder cancer-a current perspective. Nat Rev Urol. 2014; 11:153-162. DOI: https://doi.org/10.1038/nrurol.2014.15
Leestma JE, Price EB Jr. Paraganglioma of the urinary bladder. Cancer. 1971; 28:1063-73. DOI: https://doi.org/10.1002/1097-0142(1971)28:4<1063::AID-CNCR2820280433>3.0.CO;2-R
Al-Zahrani AA. Recurrent urinary bladder paraganglioma. Adv Urol. 2010; 2010:912125. DOI: https://doi.org/10.1155/2010/912125
Peng C, Bu S, Xiong S, et al. Non-functioning paraganglioma occurring in the urinary bladder: A case report and review of the literature. Oncol Lett. 2015; 10: 321-324. DOI: https://doi.org/10.3892/ol.2015.3222
Lenders JW, Duh QY, Eisenhofer G, et al. Endocrine Society. Pheochromocytoma and paraganglioma: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2014; 99:1915-42. DOI: https://doi.org/10.1210/jc.2014-1498
Eskazan AE, Buyuktas D, Soysal T. Postoperative thrombotic thrombocytopenic purpura. Surg Today. 2015; 45:8-16. DOI: https://doi.org/10.1007/s00595-013-0823-y
Scully M, Goodship T. How I treat thrombotic thrombocytopenic purpura and atypical haemolytic uraemic syndrome. Br J Haematol. 2014; 164:759-66. DOI: https://doi.org/10.1111/bjh.12718

How to Cite

Giordano, G. ., Kyriazi, E. ., Mavridis, C. ., Persico, F. ., Fragkoulis, C. ., Gatto, P. ., Georgiadis, G. ., Giagourta, I. ., Glykas, I. ., Hurle, R. ., Lazzeri, M. ., Lughezzani, G., Magnano San Lio, V. ., Mamoulakis, C. ., Meo , D. ., Papadaki, H. A. ., Piaditis, G. ., Pontikoglou, C. ., & Stathouros, G. . (2021). Oncology and complications. Archivio Italiano Di Urologia E Andrologia, 93(1), 71–76. https://doi.org/10.4081/aiua.2021.1.71

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.