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July 13, 1964

Ureteral Tumors

JAMA. 1964;189(2):165. doi:10.1001/jama.1964.03070020093031

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To the Editor:—  Robards and his associates in the March 7, 1964, issue of The Journal (187:778) in writing on "Primary Tumors of the Ureter" made several statements with which I take issue:

  1. I question calling papilloma a benign tumor. Recently, I did radical bladder surgery for a low ureteral metastasis from a previously "benign" mid-ureteral papilloma. In this case a nephrectomy and ureterectomy to the outer bladder wall had been performed. Careful analysis of the initial lesion had failed to reveal any submucosal infiltration, yet, metastasis did occur five years later.

  2. The goblet sign is mentioned in the urographic diagnosis of ureteral carcinoma, but no mention is made of the "coiled-catheter" sign. This was originally described by Drs. Friedenberg, Sayegh, and myself in the American Journal of Roentgenology, Radium Therapy and Nuclear Medicine (86:707 [Oct] 1961) and later corroborated by others as being of value.

  3. The statement that

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