Role of Imaging and Percutaneous Biopsy in a Rare Case of Squamous Cell Carcinoma of Mid Ureter

Mahesh Choudhary, Hiren Rathod, Purvi Desai

Abstract: Squamous cell carcinoma of the ureter is very rare, constituting only 1-1.6% of all urothelial tumours. It is an aggressive tumor, spreading to bone, liver and lung. The median post diagnosis survival is short and estimated to be five months. Definitive diagnosis is exclusively by histopathological evaluation, which is used for stratifying the tumors into different prognostic groups to aid in the evaluation of treatment results and to optimize the management of patients. Therapeutic options may include radical surgery, radiotherapy, chemotherapy, or a combination of these treatments. We present a case of locally advanced squamous cell carcinoma of the ureter and its different methods of biopsy. Ureteroscopic biopsy is an integral part of diagnosis of neoplastic lesion of the upper urinary tract, but it is technical challenging, Although image-guided percutaneous biopsy of the urinary tract is a relatively uncommon procedure, it can be considered a good option In selected cases or when traditional methods, such as the ureteroscopic technique, are not possible.

Keywords: Percutaneous access, Urinary tract, SCC