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Primary amyloidosis of the ureter
Authors: Petr Plasgura 1; Tomáš Vaněk 2
Authors‘ workplace: Urologické oddělení Nemocnice ve Frýdku-Místku, p. o. 1; Patologické oddělení Nemocnice ve Frýdku-Místku, p. o. 2
Published in: Ces Urol 2014; 18(4): 334-338
Category: Case report
Overview
We present a case report of primary amyloidosis of ureter AL type, a rare form of the diseases. The disease led to hydronephrosis and oligofunction of the kidney. The diagnosis was histologically determined following nephrectomy. The histological demonstration of amyloid is essential for diagnosis. Conservative surgical management is possible only if the diagnosis is made before or during the operation. Amyloidosis of the ureter should be considered in the differential diagnosis in cases where calcification in the wall of the ureter or renal pelvis are seen on CT scans.
Key words:
amyloidosis, green birefringence, disease of ureter, treatment.
Sources
1. Kawashima A, Alleman WG, Takahashi N, et al. Imaging evaluation of amyloidosis of the urinary tract and retroperitoneum. Radiographics 2011; 31(6): 1569–1582.
2. Ryšavá R. Amyloidóza ledvin. Postgraduální medicína 2006; 8(2): 207–212.
3. Adam Z, Krejčí M, Simonides J. Diseases caused by deposition of monoclonal immunoglobulin. Postgraduální medicína 2011; 9 : 1009–1017.
4. Ding X, Yan X, Ma X, et al. Localized amyloidosis of the ureter: A case report and literature review. Can Urol Assoc J 2013; 7(11–12): 764–767.
5. Mantoo S, Hwang JS, Chiang GS, Tan PH. A rare case of localised AA-type amyloidosis of the ureter with spheroids of amyloid. Singapore Med J 2012; 53(4): 77–79.
6. Paraskevas KI, Anagnostou D, Bouris C. Anuria caused by primary amyloidosis of the lower third of the ureters, the ureterovesical junction and the urinary bladder: a case report and review of the literature. Int Urol Nephrol 2004, 36 : 339–342.
7. Lee HJ, Song DE, Joo J, et al. Localized amyloidosis of the ureter: a report of two cases. Kor J Pathol. 2004, 38 : 184–187.
8. Garcia-Escudero López A, Padilla Nieva J, Infante Riaňo R, et al. Localized primary ureter amyloidosis. Arch Esp Urol 2011; 64(4): 371–375.
Labels
Paediatric urologist Nephrology Urology
Article was published inCzech Urology
2014 Issue 4-
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