Ureteral Metastasis Secondary to Prostate Cancer: A Case Report.

Journal: Urology case reports
Published Date: Dec 29, 2015

Abstract

Prostate cancer is very frequent, but secondary ureteral metastasis are extremely rare. We present a 55 year old man with a 2 month history of right flank pain and lower urinary tract symptoms. Prostatic specific antigen of 11.3 ng/mL. Computed tomography showed right hydroureteronephrosis, a developing urinoma and right iliac adenopathies. He underwent right ureteronephrectomy, iliac lymphadenectomy and prostate biopsy. Pathology revealed prostatic carcinoma infiltrating the ureteral muscularis propria, without mucosal involvement. There are 46 reported cases of prostate cancer with ureteral metastases. Ureteral metastasis are a rare cause of renal colic and need of a high index of suspicion.

Authors

  • I Morales
    Department of Surgery, Universidad de los Andes, Santiago, Región Metropolitana, Chile.
  • C Bassa
    School of Medicine, Universidad de los Andes, Santiago, Región Metropolitana, Chile.
  • A Pavlovic
    Department of Public Health, Universidad de los Andes, Santiago, Región Metropolitana, Chile.
  • C Morales
    Department of Surgery, Universidad de los Andes, Santiago, Región Metropolitana, Chile.

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