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Lower ureteric amyloidoma mimicking urothelial carcinoma: diagnostic and therapeutic challenges
  1. Jeena Kudunthail1,
  2. Mahendra Singh1,
  3. Arjun Singh Sandhu1 and
  4. Vikarn Vishwajeet2
  1. 1 Department of Urology, AIIMS Jodhpur, Jodhpur, India
  2. 2 Pathology and Lab Medicine, All India Institute of Medical Sciences - Jodhpur, Jodhpur, Rajasthan, India
  1. Correspondence to Dr Mahendra Singh; dr.mahi1118{at}gmail.com

Abstract

Amyloidosis comprises a group of disorders characterised by the buildup of amyloid substances outside cells. This condition can manifest as either a systemic disorder affecting multiple organs or a localised disorder impacting specific organs. While systemic amyloidosis is more common, localised amyloidosis within the urinary tract, particularly the ureter, is rare.

Localised ureteral amyloidosis presents a diagnostic challenge because its clinical and radiological features can resemble those of neoplastic conditions, such as urothelial carcinoma. This similarity in presentation can make it difficult to accurately diagnose the condition before surgery.

This report discusses a notable case of ureteral amyloidosis that was initially mistaken for urothelial carcinoma based on imaging findings. Understanding such cases is crucial for improving the diagnosis and management of localised urinary tract amyloidosis, especially in the context of lower ureteral malignancies.

  • Urology
  • Oncology

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: JK. The following authors gave final approval of the manuscript: MS, ASS, VV. Guarantor is MS.

  • Funding This study was funded by the Science and Engineering Research Board, India (SRG/2021/001073)

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.