Metastatic Colorectal Adenocarcinoma in a Bifid Ureter | Zendy

Nikhil Gopal | Zendy; Michael Stern | Zendy; Neel Patel | Zendy; Gerald J. Matthews | Zendy; Majid Eshghi | Zendy

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Metastatic Colorectal Adenocarcinoma in a Bifid Ureter

Author(s) -

Nikhil Gopal,

Michael Stern,

Neel Patel,

Gerald J. Matthews,

Majid Eshghi

Publication year - 2019

Publication title -

journal of endourology case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.123

H-Index - 1

ISSN - 2379-9889

DOI - 10.1089/cren.2018.0100

Subject(s) - medicine , ureter , ureteroscopy , hydronephrosis , malignancy , metastasis , colorectal cancer , adenocarcinoma , biopsy , radiology , cancer , urology , urinary system , pathology

Background: Secondary malignancies of the ureter are uncommon. We report the diagnosis and management of metastatic colon cancer to the bifurcation of a bifid ureter. Case Presentation: A 59-year-old man presented with diffuse metastasis with right hydronephrosis in both renal moieties of a partially duplicated system and an enhancing lesion within the proximal common ureter. Ureteral biopsy was positive for colorectal adenocarcinoma. The patient was subsequently started on palliative chemoradiation. Conclusion: The ureter is a rare location for hematogenous/lymphatic metastases. When a ureteral mass is present on imaging, ureteroscopy should be performed to characterize the extent of tumor and to rule out secondary malignancy.

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