IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT

Yıl: 2020 Cilt: 23 Sayı: 2 Sayfa Aralığı: 278 - 282 Metin Dili: İngilizce DOI: 10.31086/tjgeri.2020.163 İndeks Tarihi: 22-10-2020

IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT

Öz:
Immunoglobulin G4-related sclerosing ureteral disease is a rare benign disorder characterised by fibrosis and lymphoplasmacytic infiltration in the ureter. A 70-year-old man with a single functional kidney and left flank pain was diagnosed with IgG4-related ureteral disease that presented as a unilateral ureteral mass. Left hydronephrosis and a 25 × 23 × 26 mm left midureteral mass were found. No malignancy was found on ureteroscopy and urinary cytology did not reveal any neoplastic cells. A 2 cm midureteral stenosis was found in the left ureter on retrograde pyelography. It was not a ureteral stricture but was the result of periureteral inflammation and fibrosis caused by immunoglobulin G4-related sclerosing disease. Initial endoscopic ablation-obliteration therapy was unsuccessful, and after 6 weeks the patient was treated by robotic ureteroureterostomy. Most plasma cells in the excised ureteral segment were IgG4-positive. Serum IgG4 was 273 mg/dL (normal range: 85–120 mg/dL). The histology of the ureteral segment resembled retroperitoneal fibrosis and the histopathology of the stricture included IgG4-positive cells, fibrosis and ureteritis. The patient was treated with oral azathioprine for 6 months. No evidence of recurrence was seen on ureteroscopy or abdominopelvic computed tomography at the 3-month or 1-year follow-up.
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APA SANCI A, GULPINAR B (2020). IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT. , 278 - 282. 10.31086/tjgeri.2020.163
Chicago SANCI Adem,GULPINAR Basak IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT. (2020): 278 - 282. 10.31086/tjgeri.2020.163
MLA SANCI Adem,GULPINAR Basak IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT. , 2020, ss.278 - 282. 10.31086/tjgeri.2020.163
AMA SANCI A,GULPINAR B IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT. . 2020; 278 - 282. 10.31086/tjgeri.2020.163
Vancouver SANCI A,GULPINAR B IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT. . 2020; 278 - 282. 10.31086/tjgeri.2020.163
IEEE SANCI A,GULPINAR B "IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT." , ss.278 - 282, 2020. 10.31086/tjgeri.2020.163
ISNAD SANCI, Adem - GULPINAR, Basak. "IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT". (2020), 278-282. https://doi.org/10.31086/tjgeri.2020.163
APA SANCI A, GULPINAR B (2020). IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT. Türk Geriatri Dergisi, 23(2), 278 - 282. 10.31086/tjgeri.2020.163
Chicago SANCI Adem,GULPINAR Basak IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT. Türk Geriatri Dergisi 23, no.2 (2020): 278 - 282. 10.31086/tjgeri.2020.163
MLA SANCI Adem,GULPINAR Basak IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT. Türk Geriatri Dergisi, vol.23, no.2, 2020, ss.278 - 282. 10.31086/tjgeri.2020.163
AMA SANCI A,GULPINAR B IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT. Türk Geriatri Dergisi. 2020; 23(2): 278 - 282. 10.31086/tjgeri.2020.163
Vancouver SANCI A,GULPINAR B IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT. Türk Geriatri Dergisi. 2020; 23(2): 278 - 282. 10.31086/tjgeri.2020.163
IEEE SANCI A,GULPINAR B "IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT." Türk Geriatri Dergisi, 23, ss.278 - 282, 2020. 10.31086/tjgeri.2020.163
ISNAD SANCI, Adem - GULPINAR, Basak. "IMMUNOGLOBULIN G4-RELATED DISEASE PRESENTING AS URETERAL MALIGNANCY AND URETERAL STRICTURE TREATED WITH AZATHIOPRINE AFTER SURGERY IN A GERIATRIC PATIENT WITH A SINGLE FUNCTIONAL KIDNEY: A CASE REPORT". Türk Geriatri Dergisi 23/2 (2020), 278-282. https://doi.org/10.31086/tjgeri.2020.163