IR Iran						                            
                            
						
 Case Report
												Primary Adenocarcinoma of the Ureter with Elevated Carbohydrate
Antigen-19-9: A Case Report and Review of the Literature 						
Author(s): Jianfeng  Cui, Qiyu  Bo, Shouzhen  Chen, Zhaocun  Zhang, Yan  Li and Benkang  ShiJianfeng  Cui, Qiyu  Bo, Shouzhen  Chen, Zhaocun  Zhang, Yan  Li and Benkang  Shi             
						
												
				 Primary adenocarcinoma of the upper tract urothelial cell carcinomas (UTUCs) is rarely reported. We report a case of primary adenocarcinoma of the ureter with elevated carbohydrate antigen 19-9 (CA-19-9). A 44-year-old male was admitted to the hospital for severe right flank and hypogastrium pain for 7 days without visible or microscopic haematuria. The patient underwent radical nephroureterectomy followed by chemotherapy with gemcitabine/ carboplatin and inorelbine/Adriamycin (ADM)/5-fluoro-2,4 (1 h, 3 h) pyrimidinedione (5-FU) and radiotherapy, and the level of CA19-9 decreased to normal. Histopathology revealed adenocarcinoma. The patient died of tumor pelvic metastasis after 6 months. A review of the literature is also reported.
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												DOI:
												 10.4172/2165-7920.1000995 
																	  
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report