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SMK Aghamir MD endourologist TUMS 2015 .
Concomittant Retrograde endoscopic management of renal pelvis tumor and stone SMK Aghamir MD endourologist TUMS
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Micro hematuria A 48 y old man Non smoker Incidental finding Not gross
No clotts Dysmorphic -
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Sono : NL right kidney left side 13 mm stone in pelvis Urine cytology : positive for malignant cells
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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
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Nephroureterectomy ? RIRS?
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