alexa Experience of Successful Treatment for an Intractable Advanced Ureter Cancer with Extra ureteral Extension using Omental Flap Transposition: A Case Report
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Experience of Successful Treatment for an Intractable Advanced Ureter Cancer with Extra ureteral Extension using Omental Flap Transposition: A Case Report

Sung Han Kim1, Sung Chan Park2, Kwan Ho Cho3, Sun Ho Kim3, Jae Young Joung1, Jinsoo Chung1, Weon Seo Park4, Kang Hyun Lee1 and Ho Kyung Seo1*
1Department of Urology, Center for Prostate Cancer, National Cancer Center, Goyang, Republic of Korea
2Department of Colorectal Surgery, National Cancer Center, Goyang, Republic of Korea
3Department of Radiology, National Cancer Center, Goyang, Republic of Korea
4Department of Pathology,National Cancer Center, Goyang, Republic of Korea
Corresponding Author : Ho Kyung Seo
Center for Prostate Cancer
National Cancer Center, 410-769, Republic of Korea
Tel : +82-31-920-1676
Fax : +82-31-920-1790
E-mail: [email protected]
Received July 22, 2014; Accepted September 22, 2014; Published September 24, 2014
Citation: Kim SH, Park SC, Cho KH, Kim SH, Joung JY, et al. (2014) Experience of Successful Treatment for an Intractable Advanced Ureter Cancer with Extra ureteral Extension using Omental Flap Transposition: A Case Report. J Clin Case Rep 4:413. doi:10.4172/2165-7920.1000413
Copyright: © 2014 Kim SH, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

We report on a 61-year-old female case of advanced ureter cancer using omental flap transposition (OFT) with tumor reduction surgery before adjuvant pelvic irradiation to prolong survival and to prevent pelvic complication from irradiation, resulting in a stable disease state for one year without serious major morbidity. The patient presented with growing pelvic pain and constipation for three months without gross hematuria or flank pain. She was diagnosed with stage IV (T4N2M0) left distal ureter cancer extending to the left iliac vessels. After three cycles of neoadjuvant combination chemotherapy of gemcitabine-cisplatin, left nephroureterectomy with a resection of the bladder cuff and ipsilateral salphingo-oophorectomy with lymph node dissection, and segmental colon resection with OFT were performed. Then, 30 adjuvant radiations at a fractionated dose of 6880 cGy on left-sided pelvic areas enabled the patient to remain in a stable disease state without progression or loco-regional recurrence, and no severe complications occurred during follow-up. Therefore, owing to the OFT with surgical reduction of tumor burden, adjuvant high dosing radiotherapy was performed effectively and safely in advanced ureter cancer without occurrence of severe radiation-related complications.

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