Lynch Syndrome-associated Upper Tract Urothelial Carcinoma

A 63-year-old female with known history of Lynch Syndrome with MSH2 gene deletion presented to the emergency department with left flank and epigastric pain worsening over one week. She had a three-year history of intermittent gross hematuria, with no masses or hydronephrosis on non-contrast abdominal and pelvic CT scan 2.5 years prior. Review of systems was otherwise negative. Patient reported previously negative evaluation with cystoscopy and repeat urinalysis for gross hematuria by outside urologist.

Source: Urology - June 26, 2018 Category: Urology & Nephrology Authors: Joanna Wang, Scott Greenberg, Jennifer Yates Source Type: research