case_images: PMC10619152_01
case_images: Imaging studies before treatment. CT showing thickening in the right lateral wall of the urinary bladder (cross-sectional) (A). Severe right hydronephrosis(cross-sectional) (B).
case_images: fonc-13-1249389-g001.jpg
case_images: PMC10619152_01_fonc-13-1249389-g001.jpg
case_images: f1
case_images: The tumor invasion of the right ureter caused severe hydronephrosis of the right kidney and loss of function and mild hydronephrosis of the left kidney ( Figure 1 ).
case_images: Bladder pathological biopsy. (IHC staining, x40) GATA3, CK20, P16, P40, P53 and Ki-67 are expressed.
case_images: fonc-13-1249389-g002.jpg
case_images: PMC10619152_01_fonc-13-1249389-g002.jpg
case_images: f2
case_images: A postoperative pathological biopsy of the bladder mass suggested an invasive urothelial carcinoma ( Figure 2 ).
case_images: Changes in preoperative and postoperative examination indexes of patients.
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case_images: PMC10619152_01_fonc-13-1249389-g003.jpg
case_images: f3
case_images: Creatinine levels significantly decreased following surgery ( Figure 3 ), and 4 days following ureteral stent placement, the creatinine was 98 umol/L.
case_images: Histopathology of surgically resected tumors. (HE staining, x40)visible tumor cells in the serous side of rectum, vagina, right ureter, right ovary, and right internal iliac obturator lymph node. (IHC staining, x40) GATA 3, CK20, CK7, P40, PAX8,P53 and Ki-67 are expressed.
case_images: fonc-13-1249389-g004.jpg
case_images: PMC10619152_01_fonc-13-1249389-g004.jpg
case_images: f4
case_images: A suspicious positive resection of the distal rectal margin was performed because of intraoperative findings of tumor invasion in the anterior wall of the vagina and part of the urethra ( Figure 4 ).