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SMK Aghamir MD endourologist TUMS

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Presentation on theme: "SMK Aghamir MD endourologist TUMS"— Presentation transcript:

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2 SMK Aghamir MD endourologist TUMS 2015 .
Concomittant Retrograde endoscopic management of renal pelvis tumor and stone SMK Aghamir MD endourologist TUMS

3 Micro hematuria A 48 y old man Non smoker Incidental finding Not gross
No clotts Dysmorphic -

4 Sono : NL right kidney left side 13 mm stone in pelvis Urine cytology : positive for malignant cells

5 cystoscopy Normal bladder cystoscopy
Differential cytology proved positive for left ureter CT scan report: Thickening of left renal pelvis walls in favor of possible tumoral involvement of pelvis

6 Nephroureterectomy ? RIRS?


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