Male patient, history of systemic arterial hypertension, smoker IT. 15, with consumptive symptoms, 5 months of evolution and weight loss of 8 kg, a tomography was performed with evidence of a mediastinal mass 108 x 79 mm, which generates extrinsic compression of the trachea and right and left main bronchi, cryo ebus was performed, of mediastinal stations, rose positive to malignancy, definitive dx high-grade papillary urothelial carcinoma.
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