Evidence map›Paper›PMID 42146968›Full record

ArticleIJU case reports2026

Rapid Systemic Progression After Ureteroscopic Holmium:YAG Laser Ablation for High-Grade Upper Tract Urothelial Carcinoma in a Solitary Kidney: A Case Report.

Shinichi Takebe, Nanaho Demizu, Mei Tokumoto, Ryota Morinaga, Taku Mitome, Akitoshi Takizawa

Abstract read
In one paragraph

Article in IJU case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shinichi TakebeDepartment of Urology International Goodwill Hospital Yokohama Kanagawa Japan.ORCID https://orcid.org/0009-0001-2997-0946
Nanaho DemizuDepartment of Urology International Goodwill Hospital Yokohama Kanagawa Japan.
Mei TokumotoDepartment of Urology International Goodwill Hospital Yokohama Kanagawa Japan.
Ryota MorinagaDepartment of Urology International Goodwill Hospital Yokohama Kanagawa Japan.
Taku MitomeDepartment of Urology International Goodwill Hospital Yokohama Kanagawa Japan.
Akitoshi TakizawaDepartment of Urology International Goodwill Hospital Yokohama Kanagawa Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Endoscopic kidney-sparing management is increasingly being used for upper tract urothelial carcinoma; however, its use in high-grade diseases remains challenging. Case Presentation: An 82-year-old man with a solitary left kidney underwent transurethral lithotripsy for left renal and ureteral stones 25 years after right nephroureterectomy for ureteral carcinoma. A 15-mm papillary tumor was incidentally detected in the upper calyx and partially ablated using a holmium:YAG laser after biopsy. Biopsy revealed a high-grade urothelial carcinoma. Because the patient had a solitary kidney, radical nephroureterectomy would have necessitated dialysis. Therefore, ureteroscopic laser ablation was performed after counseling. A second laser ablation was performed 2 months later. Twelve days later, imaging revealed an enlarged renal pelvic tumor with multiple metastases. Despite receiving gemcitabine plus carboplatin chemotherapy, the patient died. Conclusion: Ureteroscopic ablation for high-grade upper tract urothelial carcinoma may offer limited cancer control and can be followed by extremely rapid systemic progression.

Indexed as

kidney pelvislaser therapysolitary kidneytransitional cell carcinomaureteroscopy

Identifiers

PMID42146968
PMCPMC13175678

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.