EURORAD ESR

Case 7926

The goblet sign in ureteral transient cell carcinoma

Author(s)
Pantelis Kraniotis, Petros Zampakis, Christina Kalogeropoulou, Theodore Petsas
University Hospital of Patras, Department of Radiology
 
Patient
male, 69 year(s)
 
 
  • Figure 1
    Intravenous urography (delayed image):

    There is marked hydroureteronephrosis on the right. The ureter is tortuous and dilated up to its distal third, where a filling defect is visualised.

     
     
     
  • Figure 2
    Retrograde pyelography:

    Retrograde pyelography: There is marked stenosis in the distal part of the right ureter. The goblet sign is visualized distal to the filling defect.

     
     
     
  • Figure 3
    Computed Tomography:

    The distal part of the ureter is dilated, due to the presence of an intraluminal soft tissue mass. There is normal excretion of contrast medium in the left ureter.

     
     
     
  • Figure 4
    Gross pathology:
     

    The distal part of the ureter is expanded due to the presence of an intraluminal mass.

     

    Close-up view of the dissected ureter with a mass protruding into the lumen

     
     
     
  • Figure 5
    Microscopy (H+Ex2):

    There is a papillary transient cell carcinoma of the ureter. The tumor is growing exophytically towards the ureteric lumen, infiltrating part of the muscular layer.

     
     
     
There is marked hydroureteronephrosis on the right. The ureter is tortuous and dilated up to its distal third, where a filling defect is visualised.
 
Retrograde pyelography: There is marked stenosis in the distal part of the right ureter. The goblet sign is visualized distal to the filling defect.
 
The distal part of the ureter is dilated, due to the presence of an intraluminal soft tissue mass. There is normal excretion of contrast medium in the left ureter.
 
The distal part of the ureter is expanded due to the presence of an intraluminal mass.
 
Close-up view of the dissected ureter with a mass protruding into the lumen
 
There is a papillary transient cell carcinoma of the ureter. The tumor is growing exophytically towards the ureteric lumen, infiltrating part of the muscular layer.
 
 
 
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