Periureteral Aspiration Cytology in the Study of Ureteral Stenoses in Patients with Known Malignancy

  • L. Luciani
  • P. Scappini
  • T. Pusiol
  • F. Piscioli


Disease involvement of the urinary collecting system in the course of neoplastic disease is a common occurrence, especially in patients with advanced pelvic malignancies [1]. Cancer of the cervix, prostate, breast, bladder, colon and rectum, and of the lymphoid system often cause urinary obstruction by direct extension or compression [2, 3]. On the other hand, post-therapeutic retroperitoneal fibrosis may be expected in patients undergoing surgery, radiation or combined surgery and radiation procedures on the pelvic area [4]. Therefore, when ureteral obstruction occurs in patients with known malignancy, it is important to establish the presence of pre-existing, recurrent or metastatic tumours before ascribing the effects to radiation or surgery. In such cases cytological diagnosis can be helpful since diagnostic imaging is often inconclusive [5].


Uterine Cervix Ureteral Obstruction Endometrial Adenocarcinoma Retroperitoneal Fibrosis Ureteral Stenosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Brin EN, Shiff M Jr, Weis RM (1975) Palliative urinary diversion of pelvic malignancy. J Urol 113:619–622PubMedGoogle Scholar
  2. 2.
    Persky L, Kursh ED, Feldman S (1978) Extrinsic obstruction of the ureter. In: Harrison HJ, Gitter RF, Perlmutter AD, Stamey TA, Walsh PL (eds) Campbell’s urology, 4th edn. Saunders, Philadelphia, pp 438–440Google Scholar
  3. 3.
    Ortlip SA, Fraley EE (1982) Indications for palliative urinary diversion in patients with cancer. Urol Clin North Am 9 (l):79–84PubMedGoogle Scholar
  4. 4.
    Dean RJ, Lytton B (1978) Urologic complications of pelvic irradiation. J Urol 119:64–67PubMedGoogle Scholar
  5. 5.
    Hillman BJ, Clark RL, Babbitt G (1984) Efficacy of the excretory urogram in the staging of gynecologic malignancies. AJR 143:997–999PubMedGoogle Scholar
  6. 6.
    Luciani L, Scappini P, Pusiol T, Piscioli F (1987) The role of aspiration biopsy cytology in the management of ureteral obstruction in patients with known cancer. Cancer 59:1936–1946PubMedCrossRefGoogle Scholar
  7. 7.
    Zubler MA (1984) Genitourinary complications of cancer. In: Smith FE, Lane M (eds) Medical complications of malignancy. Wiley, New York, pp 65–72Google Scholar
  8. 8.
    Welch JS, Pratt JH, Symmonds RE (1961) The wertheim hysterectomy for squamous cell carcinoma of the uterine cervix. Am J Obstet Gynecol 81:978–987PubMedGoogle Scholar
  9. 9.
    Green TH, Meigs JV, Ulfelder H, Curtin RR (1962) Urologic complications of radical wertheim hysterectomy. Incidence, etiology, management and prevention. Obstet Gynecol 20:293–312PubMedGoogle Scholar
  10. 10.
    Christensen A, Zange P, Nielsen E (1964) Surgical and radiation treatment of invasive carcinoma of the uterine cervix. Acta Obstet Gynecol Scand 43:60–87CrossRefGoogle Scholar
  11. 11.
    Decker DG, Smith RA (1968) Sequential radiation therapy and surgery for stage I and stage II cancer of the cervix. Am J Roentgenol Radium Ther Nucl Med 102:152–160PubMedGoogle Scholar
  12. 12.
    Knipper S (1972) Stènoses urétérales après irradiation à haute énergie pour cancer du col utérin. Acta Radiol 32:110–132Google Scholar
  13. 13.
    Kaplan AL (1977) Post-radiation ureteral obstruction. Obstet Gynecol Surv 32:108CrossRefGoogle Scholar
  14. 14.
    Zerbib M, Teyssier P, Steg A (1983) Les stènoses urétérales après traitment des cancers du col utérin: fibrose post radio-thérapique ou récidive neoplastique? J Chir (Paris) 120:503–513Google Scholar
  15. 15.
    Wein AJ, Ring EJ, Freiman AB, Oleaga JA, Carpiniello VL, Banner MP, Pollack HM (1979). Applications of thin needle aspiration biopsy in urology. J Urol 121:626–629PubMedGoogle Scholar
  16. 16.
    Luciani L, Aldovini D, Piscioli F, Pusiol T, Polla E, Menichelli E (1983) Cytologic detection of ureteral metastasis from breast carcinoma causing peripelvic extravasation. Urology 22:56–58PubMedCrossRefGoogle Scholar
  17. 17.
    Jones CR, Woodhouse CRJ, Hendry WF (1984) Urological problems following treatment of carcinoma of the cervix. Br J Urol 56:609–613PubMedCrossRefGoogle Scholar
  18. 18.
    Göthlin JH, Barbaric ZL (1978) Fluoroscopy-guided percutaneous transperitoneal fine-needle biopsy of renal masses. Urology 11:300–302PubMedCrossRefGoogle Scholar
  19. 19.
    Freiman DB, Ring EJ, Oleaga JA, Carpiniello VL, Wein AJ (1978) Thin needle biopsy in the diagnosis of ureteral obstruction with malignancy. Cancer 42:714–716PubMedCrossRefGoogle Scholar
  20. 20.
    Meier WL, Willscher MK, Novicki DE, Pischinger RJ (1979) Evaluation of perihilar and central renal masses using the Chiba needle. J Urol 121:414–416PubMedGoogle Scholar
  21. 21.
    Barbaric ZL, Macintosh PK (1981) Periureteral thin-needle aspiration biopsy. Urol Radiol 2:181–185PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • L. Luciani
  • P. Scappini
  • T. Pusiol
  • F. Piscioli

There are no affiliations available

Personalised recommendations