Primary Ureteral Tumors Research Articles

Impact of Primary Tumor Location on Survival from the European Organization for the Research and Treatment of Cancer Advanced Urothelial Cancer Studies

The prognostic relevance of primary location of urothelial carcinoma on survival has been poorly investigated. We used prospectively collected data from 3 European Organization for the Research and Treatment of Cancer advanced urothelial carcinoma studies, including 30924 (methotrexate, vinblastine, doxorubicin and cisplatin vs high dose methotrexate, vinblastine, doxorubicin and cisplatin), 30986 (methotrexate, carboplatin and vinblastine vs gemcitabine and cisplatin in patients who were not candidates for cisplatin) and 30987 (gemcitabine and cisplatin-paclitaxel vs gemcitabine and cisplatin in candidates for cisplatin). Patients were grouped by primary tumor location as those with bladder cancer or upper tract urothelial carcinoma. Progression-free and overall survival was tested by tumor location using Cox proportional hazard regression stratified by study and treatment using 2-sided α = 0.05. Of the 1,039 patients 878 (85.3%) and 161 (14.7%) had bladder cancer and upper tract urothelial carcinoma, respectively. Patients with bladder cancer had better performance status and were more likely to be male (p = 0.008 and <0.074, respectively). By a median followup of 4.8 years (IQR 4.0-6.7) 733 patients had died and 925 had experienced disease progression. Overall and progression-free survival did not differ significantly between bladder and upper tract urothelial carcinoma cases (p = 0.3 and 0.7, respectively), even after adjusting for the effects of Bajorin risk group by each tumor location. When upper tract urothelial carcinoma was considered separately, patients with primary ureteral tumors had better overall survival than patients with primary bladder cancer (OR = 0.74, p = 0.047). However, this association did not remain significant after adjusting for Bajorin risk group (p = 0.05). Primary tumor location had no impact on progression-free or overall survival in patients with locally advanced or metastatic urothelial carcinoma treated with platinum based combination chemotherapy.

The role of laparoscopy-assisted renal autotransplantation in the treatment of primary ureteral tumor.

To evaluate the effect and safety of laparoscopy-assisted renal autotransplantation treatment for primary ureteral cancer (PUC). Medical records of patients undergoing hand-assisted retroperitoneoscopic nephroureterectomy–extracorporeal total ureterectomy–renal autotransplantation–pyelocystostomy (Lap AutoTx) were analyzed. Demographic, intraoperative, and postoperative data were assessed. Fifteen patients diagnosed with PUC underwent this novel approach. Three kidneys were abandoned owing to the detection of residual cancer on the renal pelvic junction, surgeon’s judgment on three severe atherosclerotic arteries, and palpable pelvic lymph nodes proven to be evidence of metastatic disease by frozen section analysis. Twelve patients (mean ± SD age 67.5 ± 7.5 years) were treated with Lap AutoTx for PUC successfully. No perioperative mortality occurred. One patient with solitary kidney experienced delayed graft function that required short-term hemodialysis. Three recurrent superficial diseases in three patients were treated with transurethral resection. The mean ± SD follow-up duration was 12.1 ± 6.7 months (range 3–24 months). The renal pelvicaliceal system was easily examined by flexible cystoscopy. Lap AutoTx is less invasive compared with the traditional two-incisional manner and can be performed safely even among elderly patients. Compared with other currently used therapies, this novel treatment can be used to successfully treat PUC with the added advantages of total resection of the ureteral lesion, preservation of the renal function, and simplification of follow-up procedures.Primary ureteral cancer (PUC) is an aggressive disease and has a poor prognosis.1 Studies have shown high prevalence and invasiveness of PUC in Taiwan.2,3 Nephroureterectomy with excision of the bladder cuff is still believed to be the gold standard treatment for PUC.4 Most PUC occurs among individuals aged more than 60 years, and most of these patients are also at high risk of chronic kidney disease (CKD).5,6 Nephroureterectomy not only results in excessive loss of renal function, but also puts the patient at risk of CKD, which contributes to the progression of end-stage renal disease requiring dialysis. In addition, diminished renal function after nephroureterectomy compromises the possible use of adjuvant chemotherapy for advanced disease.Endoscopic surgery (ES) and segmental resection (SR) can be used for renal preservation in PUC cases, but there still are limitations to these approaches, and indefinite invasive ureteroscopy is required during follow-up. Only a few studies have focused on renal autotransplantation (AutoTx) after extracorporeal total ureterectomy (ETU) for PUC. This type of treatment possesses advantages of total resection of malignant ureteral lesions, preservation of renal function, and simplification of follow-up protocols. In two reported case series, all cases involved surgery performed with the traditional 2-incision approach, and only a few cases involved pure PUC.7,8 We have reported that hand-assisted retroperitoneoscopic nephroureterectomy (HARNU) for the treatment of PUC is less invasive and results in better functional outcomes with fewer complications and comparable oncologic control compared with open nephroureterectomy.9 In this study, we report our experience of this treatment combined with ETU and AutoTx for pure PUC.

Cox-2 gene overexpression in ureteral stump urothelial carcinoma following nephrectomy for renal cell carcinoma: a case report.

IntroductionA primary ureteral stump tumor after a nephrectomy is rare; urothelial carcinoma of the ureteral stump after a nephrectomy for renal cell carcinoma is even rarer. A thorough review of the literature indicated that only seven cases have previously been reported. In this study, we report the first Taiwanese case of urothelial carcinoma of the ureteral stump after a nephrectomy. It is also the first female case in the literature. The relationship between inflammatory genes, medication history and ureteral stump carcinoma after a nephrectomy for renal cell carcinoma has not been reported.Case presentationA 72-year-old Asian Taiwanese women with chronic hepatitis C, liver cirrhosis and chronic kidney disease underwent a hand-assisted laparoscopic radical nephrectomy in 2001 due to renal cell carcinoma. Nine years later, she was diagnosed with ureteral stump urothelial carcinoma. Genetic and medication surveys were performed. Importantly, our patient had taken Chinese herbal drugs for more than 10 years and the inflammatory gene, Cox-2, was highly expressed in this patient. This is the first report to study the relationship between the Cox-2 gene and ureteral stump carcinoma after a nephrectomy for renal cell carcinoma.ConclusionLong-term multiple use of Chinese herbal drugs could be one of the important risk factors for developing urothelial cancer. Close functional coupling between Chinese herbal drugs, Cox-2 gene activation and urothelial cancer should be further investigated.

Transitional cell carcinoma of ureter presenting acute ureteric colic and ruptured caliceal fornix with extravasation of urine

Abstract Background: Primary ureteral tumors are not common. The most common presentations of upper urinary tract urothelial carcinoma are gross or microscopic hematuria. Objective: Report a rare case of acute ureteric colic with perirenal urinoma, secondary to primary ureteric carcinoma. Methods: Case report and review of literature. Result: Perirenal extravasation and ureteric obstruction by tumor was diagnosed by contrast-enhanced computed tomography. The patient was successfully treated with laparoscopic radical nephroureterectomy after the obstruction was relieved by ureteric stent. Adjuvant radiation was done at the renal fossa for local control. There was no evidence of disease recurrence at twelve month after surgery. Conclusion: The renal caliceal fornix rupture is usually associated with acute ureteric obstruction by stone. Rarely, it occurs by primary ureteric tumor.

Ureteral neoplasms.

The authors review primary and secondary neoplastic lesions of the ureter. Primary ureteral tumors are rare, although when they occur, they usually consist of transitional cell carcinoma. The most frequent symptoms are hematuria, frequency, dysuria, and pain. Secondary ureteral neoplasms are caused by direct extension from an adjacent extraureteral primary tumor or from a site of bulky metastasis and, rarely, by metastasis from a distant primary tumor. The most useful diagnostic modalities are retrograde pyelography for direct visualization of ureteral involvement--particularly in the presence of high-grade obstruction--and computed tomography for evaluation of extraureteral extent of tumors and the presence of lymphadenopathy and distant metastases.

Primary carcinoma of ureters

Thirty-two patients with primary carcinoma of the ureter were treated at our institution from 1961 to 1968 using various modes of therapy. Sixteen of these patients underwent segmental resections, with a five-year survival of 71.4 per cent and a ureteral recurrence rate of 6 per cent. Twelve other patients received a complete nephroureterectomy, with a subsequent five-year survival of 50 per cent. We believe that segmental resection is indicated for all low-grade and low-stage primary ureteral tumors regardless of their location and with a small chance for recurrence.

A Case of Primary Ureteral Tumor

A Case of Primary Ureteral Tumor

Computed Tomography of Ureteral Obstruction

Although hydronephrosis can usually be diagnosed by urography and/or pyelography, the etiology of the obstruction may not be apparent. Computed tomography (CT) is usually helpful in evaluation of these cases. In 36 cases in which CT was performed solely to determine the cause of ureteral obstruction of uncertain etiology, it proved to be of value in 33 instances (91.7%). The disease processes encountered in this series included metastatic carcinoma to the ureter or periureteral tissues(22), lymphoma (one), primary ureteral tumor (two), radiolucent ureteral stone (four), adjacent ileocolitis (two), aortic or iliac artery aneurysm (two), fibrous band(one), urinoma (one), and radiation fibrosis (one). In three cases (8.3%) an etiologic diagnosis could not be made by CT. These patients had radiation therapy to treat malignant disease, and recurrent tumor responsible for ureteral obstruction could not be distinguished from radiation fibrosis.

Primary ureteral tumors. Reconsideration of management.

Abstract Low-grade, noninvasive ureteral tumors can be treated by conservative surgical procedures. High-grade invasive tumors can be treated by classical nephroureterectomy if feasible surgically, or else by irradiation along with palliative nephrectomy. We feel strongly that just as in tumors of the bladder that have been treated conservatively, the upper urinary tract can be observed at intervals for possible recurrence or development of new tumors either on the same or opposite side.

Bilateral Primary Carcinoma of the Ureter

PRIMARY TUMORS of the ureter are uncommon, and bilateral malignant tumors of the ureter occurring simultaneously are rare. There have been previously reported only five cases of bilateral primary ureteral tumors^1-5and two other cases^6,7which occurred asynchronously. This case is noteworthy because of the rarity of the lesion, the paucity of presenting symptoms, the elderly age of the patient, and the concomitant finding of papillary carcinoma in the bladder. <h3>Report of a Case</h3> The patient (514124), an 81-year-old white sawmill worker, was admitted to the University of Virginia Hospital with a chief complaint of several episodes of hematuria and intermittent mild left flank pain for five months. For three years, he also had noticed increasing difficulty with urination, frequency, and nocturia (three to four times). The patient was normotensive and appeared somewhat younger than his stated age. Review of systems was non-contributory and past history was negative.

PRIMARY TUMORS OF THE URETER.

THE INFREQUENT incidence of primary ureteral tumors is probably responsible for the concept that all ureteral neoplasms are similarly malignant and all require nephro-ureterectomy and bladder cuff removal as the definitive therapy. The paucity of information in regard to metastasis, local extension, pathological description, and follow-up presently precludes the determination of the best form of management for the many varieties of primary ureteral tumors. The purpose of this paper is to show that extensive surgical therapy is not the only form of treatment. Approximately 1,200 ureteral tumors of all types have been reported and about 75% of these have been interpreted as being malignant. Of the benign tumors, only the papilloma and polyp have occurred with sufficient frequency to be other than the rare single case report. Of the malignant neoplasms, the transitional cell and epidermoid carcinomata occur with similar frequency. A three-to-one preponderance of ureteral tumors in males and

腎盂腫瘍, 尿管腫瘍の症例

1. A few experiential reports have recently made on each cases of pelvic, primary ureteral and secondary ureterovesical tumors, briefly with some literatures avaible on this subject considerated.2. Pelvic tumor; Inpatient, who entered hospital complaining of hematuria and lower abdominal pain, result of X-ray finding tried several times was of great value in determining nephroureterectomy with partial cystectomy because X-ray showed nothing on kidney but the filling defect in lower part of the left ureter. It was histologically concluded that milliary nodes were observed in the renal pelvis and microscopic aspect meant capillary carcinoma and the stricture of ureter due to inflammation.3. Primary ureteral tumor; Inpatient, who complained of symptomless hematuria, left ureteral nephroureterectomy with partial cystectomy was performed under the diagnosis of left tumor in recognition of the peculiar filling defect at the left ureteropelvic junction from an intravenous and retrograde pyelographies. It was determined the primary papillary carcinma of left ureter under the histological examination.4. Secondary ureterovesical tumor; Inpatient, who had ever undergone right nephrectomy 8 months before under the diagnosis of right renal papillary tumor, thereafter had gradually increase of hematuria, similarly the rest ureterectomy with partial cystectomy was made under the diagnosis of the secondary papillary tumor. It was ureteral papillary carcinoma under the histological examination.5. From these remarkable characteristics of tumor via upper urinary tract it should be, if possible, taken away with total nephroureterectomy and partial cystectomy.

Primary Ureteral Tumors with a Review of the Literature Since 1943

No AccessJournal of Urology1 Feb 1953Primary Ureteral Tumors with a Review of the Literature Since 1943 Fedor L. Senger and Clement A. Furey Fedor L. SengerFedor L. Senger More articles by this author and Clement A. FureyClement A. Furey More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)68056-XAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1953 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byNeal J and Arbuckle L (2018) Benign Fibrous Polyp of Ureter: A Case ReportJournal of Urology, VOL. 108, NO. 2, (230-231), Online publication date: 1-Aug-1972.Kim K, Leiter E and Brendler H (2018) Primary Tumors of the UreterJournal of Urology, VOL. 107, NO. 6, (955-958), Online publication date: 1-Jun-1972.Hawtrey C (2018) Fifty-Two Cases of Primary Ureteral Carcinoma: a Clinical-Pathologic StudyJournal of Urology, VOL. 105, NO. 2, (188-193), Online publication date: 1-Feb-1971.Wogalter H (2018) Ureteral Polyp: 19 Year HistoryJournal of Urology, VOL. 86, NO. 5, (528-531), Online publication date: 1-Nov-1961.Arduino L (2018) Conservative Surgery for Ureteral PolypsJournal of Urology, VOL. 85, NO. 6, (924-927), Online publication date: 1-Jun-1961. Volume 69Issue 2February 1953Page: 243-258 Advertisement Copyright & Permissions© 1953 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Fedor L. Senger More articles by this author Clement A. Furey More articles by this author Expand All Advertisement PDF downloadLoading ...

The Treatment and Prognosis of Papillary Tumors of the Renal Pelvis and Ureter

No AccessJournal of Urology1 Mar 1949The Treatment and Prognosis of Papillary Tumors of the Renal Pelvis and Ureter1 Vincent J. O’conor Vincent J. O’conorVincent J. O’conor More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)69097-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1949 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byRoen P and Kandalaft S (2018) Primary Benign Mesodermal Ureteral TumorJournal of Urology, VOL. 96, NO. 6, (890-891), Online publication date: 1-Dec-1966.Brock D (2018) Benign Polyp of UreterJournal of Urology, VOL. 83, NO. 5, (572-574), Online publication date: 1-May-1960.Baker W and Graf E (2018) Tumors of the UreterJournal of Urology, VOL. 70, NO. 3, (390-409), Online publication date: 1-Sep-1953.Senger F and Furey C (2018) Primary Ureteral Tumors with a Review of the Literature Since 1943Journal of Urology, VOL. 69, NO. 2, (243-258), Online publication date: 1-Feb-1953.Creecy A (2018) Carcinoma of the UreterJournal of Urology, VOL. 68, NO. 3, (591-602), Online publication date: 1-Sep-1952.Morley H, Shumaker E and Gardner L (2018) Intussusception of the Ureter Associated with a Benign PolypJournal of Urology, VOL. 67, NO. 3, (266-271), Online publication date: 1-Mar-1952.St. Martin E, O’Brien H and Mitchell J (2018) Multiple Tumors of the Urinary TractJournal of Urology, VOL. 64, NO. 2, (426-437), Online publication date: 1-Aug-1950. Volume 61Issue 3March 1949Page: 488-492 Advertisement Copyright & Permissions© 1949 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Vincent J. O’conor More articles by this author Expand All Advertisement PDF downloadLoading ...

Primary Carcinoma of the Ureter

No AccessJournal of Urology1 Nov 1945Primary Carcinoma of the Ureter Clyde F. Bowie, andM.C. Ernest BorsM.C. Clyde F. BowieClyde F. Bowie More articles by this author , and Ernest BorsErnest Bors More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)70095-XAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1945 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited BySenger F and Furey C (2018) Primary Ureteral Tumors with a Review of the Literature Since 1943Journal of Urology, VOL. 69, NO. 2, (243-258), Online publication date: 1-Feb-1953.Long J (2018) Primary Carcinoma of the UreterJournal of Urology, VOL. 61, NO. 1, (23-28), Online publication date: 1-Jan-1949. Volume 54Issue 5November 1945Page: 434-437 Advertisement Copyright & Permissions© 1945 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Clyde F. Bowie More articles by this author Ernest Bors More articles by this author Expand All Advertisement PDF DownloadLoading ...

Primary Carcinoma of Ureter with Special Reference to Hydronephrosis: Review of Literature and Report of an Unusual Case

No AccessJournal of Urology1 Aug 1945Primary Carcinoma of Ureter with Special Reference to HydronephrosisReview of Literature and Report of an Unusual Case Joseph A. Lazarus and Morris S. Marks Joseph A. LazarusJoseph A. Lazarus More articles by this author and Morris S. MarksMorris S. Marks More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)70058-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1945 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byMukamel E, Nissenkorn I, Avidor I and Servadio C (2018) Spontaneous Rupture of Renal and Ureteral Tumors Presenting as Acute Abdominal ConditionJournal of Urology, VOL. 122, NO. 5, (696-698), Online publication date: 1-Nov-1979.Meyer P (2018) The Histological Grading of Primary Epithelial Neoplasms of the UreterJournal of Urology, VOL. 102, NO. 1, (30-36), Online publication date: 1-Jul-1969.Sözer I (2018) Squamous Cell Carcinoma and Calculi in Ureteral Stump: 12 Years Post-NephrectomyJournal of Urology, VOL. 99, NO. 3, (264-265), Online publication date: 1-Mar-1968.Holtz F (2018) Papillomas and Primary Carcinoma of the Ureter: Report of 20 CasesJournal of Urology, VOL. 88, NO. 3, (380-385), Online publication date: 1-Sep-1962.Wesolowski S (2018) Primary Tumors Of The UreterJournal of Urology, VOL. 82, NO. 2, (212-217), Online publication date: 1-Aug-1959.Taylor A and Victor Berry J (2018) Primary Carcinoma of Residual UreterJournal of Urology, VOL. 72, NO. 5, (817-820), Online publication date: 1-Nov-1954.Keen M (2018) Primary Ureteral TumorsJournal of Urology, VOL. 69, NO. 2, (231-242), Online publication date: 1-Feb-1953.Senger F and Furey C (2018) Primary Ureteral Tumors with a Review of the Literature Since 1943Journal of Urology, VOL. 69, NO. 2, (243-258), Online publication date: 1-Feb-1953.St. Martin E, O’Brien H and Mitchell J (2018) Multiple Tumors of the Urinary TractJournal of Urology, VOL. 64, NO. 2, (426-437), Online publication date: 1-Aug-1950.Long J (2018) Primary Carcinoma of the UreterJournal of Urology, VOL. 61, NO. 1, (23-28), Online publication date: 1-Jan-1949.Burford C, Glenn J and Burford E (2018) Primary Carcinoma of the Ureter: With Report of two CasesJournal of Urology, VOL. 60, NO. 2, (337-344), Online publication date: 1-Aug-1948.Fagerstrom D (2018) Proliferative Tumors of the Ureter and Renal Pelvis, with Further Observations on the Significance of “Epithelial Cell Nests”: Six Case ReportsJournal of Urology, VOL. 59, NO. 3, (333-357), Online publication date: 1-Mar-1948.Gualtieri T, Hayes J and Segal A (2018) Report of two Cases of Carcinoma of the Ureter; Discussion of the Pathogenesis of Urinary Tract TumorsJournal of Urology, VOL. 59, NO. 6, (1083-1100), Online publication date: 1-Jun-1948. Volume 54Issue 2August 1945Page: 140-157 Advertisement Copyright & Permissions© 1945 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Joseph A. Lazarus More articles by this author Morris S. Marks More articles by this author Expand All Advertisement PDF downloadLoading ...

Primary Epithelioma of the Ureter: A Follow-Up Study of Eighteen Cases with the Addition of Nine New Cases

No AccessJournal of Urology1 Jun 1944Primary Epithelioma of the Ureter: A Follow-Up Study of Eighteen Cases with the Addition of Nine New Cases Virgil S. Counseller, Edward N. Cook, and Philip H. Seefeld Virgil S. CounsellerVirgil S. Counseller More articles by this author , Edward N. CookEdward N. Cook More articles by this author , and Philip H. SeefeldPhilip H. Seefeld More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)70400-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1944 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byBrown H and Roumani G (2018) Conservative Surgical Management of Transitional Cell Carcinoma of the Upper Urinary TractJournal of Urology, VOL. 112, NO. 2, (184-187), Online publication date: 1-Aug-1974.Bloom N, Vidone R and Lytton B (2018) Primary Carcinoma of the Ureter: A Report of 102 New CasesJournal of Urology, VOL. 103, NO. 5, (590-598), Online publication date: 1-May-1970.Gibson T (2018) Local Excision in Transitional Cell Tumors of the Upper Urinary TractJournal of Urology, VOL. 97, NO. 4, (619-622), Online publication date: 1-Apr-1967.Whitlock G, McDonald J and Cook E (2018) Primary Carcinoma of the Ureter: A Pathologic and Prognostic StudyJournal of Urology, VOL. 73, NO. 2, (245-253), Online publication date: 1-Feb-1955.Keen M (2018) Primary Ureteral TumorsJournal of Urology, VOL. 69, NO. 2, (231-242), Online publication date: 1-Feb-1953.Senger F and Furey C (2018) Primary Ureteral Tumors with a Review of the Literature Since 1943Journal of Urology, VOL. 69, NO. 2, (243-258), Online publication date: 1-Feb-1953.Creecy A (2018) Carcinoma of the UreterJournal of Urology, VOL. 68, NO. 3, (591-602), Online publication date: 1-Sep-1952.Long J (2018) Primary Carcinoma of the UreterJournal of Urology, VOL. 61, NO. 1, (23-28), Online publication date: 1-Jan-1949.O’conor V (2018) The Treatment and Prognosis of Papillary Tumors of the Renal Pelvis and UreterJournal of Urology, VOL. 61, NO. 3, (488-492), Online publication date: 1-Mar-1949.Burford C, Glenn J and Burford E (2018) Primary Carcinoma of the Ureter: With Report of two CasesJournal of Urology, VOL. 60, NO. 2, (337-344), Online publication date: 1-Aug-1948.Gualtieri T, Hayes J and Segal A (2018) Report of two Cases of Carcinoma of the Ureter; Discussion of the Pathogenesis of Urinary Tract TumorsJournal of Urology, VOL. 59, NO. 6, (1083-1100), Online publication date: 1-Jun-1948.Hundley J and Hunter J (2018) Primary Carcinoma of the Ureter: Presentation of a CaseJournal of Urology, VOL. 58, NO. 3, (176-181), Online publication date: 1-Sep-1947. Volume 51Issue 6June 1944Page: 606-615 Advertisement Copyright & Permissions© 1944 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Virgil S. Counseller More articles by this author Edward N. Cook More articles by this author Philip H. Seefeld More articles by this author Expand All Advertisement PDF downloadLoading ...