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Figure 11


Fig. 5 —48-year-old man with history of bladder transitional cell carcinoma. Patient had undergone resection and bacille Calmette-Guérin (BCG) treatment with negative cystoscopy. Axial image from CT urography shows circumferential thickening of distal left ureter (open arrows) with periureteric stranding, thought to represent recurrent tumor, and normal right ureter (arrow). Ureteroscopy revealed stricture in this region with no visible tumor. Ureteroscopic biopsy of this region, performed on two separate occasions 2 years apart, revealed only inflammatory changes with no carcinoma. Follow-up imaging over past 4 years has shown no significant change in appearance of this stricture.





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