title: Ureteral metastasis from appendiceal cancer: report of a case.
abstract: We report a case of primary appendiceal cancer that metastasized to the ureter. The patient was a 51-year-old woman who complained of persistent left back pain and right lower abdominal pain. After a detailed examination she was diagnosed to have cancer of the appendix, multiple liver metastases, and left hydronephrosis. Since an obstruction of the ileocecum was obvious, she underwent an ileocecal resection and a resection of the spindle-shaped tumor invading the left ureter. Lymph node metastases were found at the root of the superior mesenteric artery. The spindle-shaped tumor was considered to be due to invasion of the appendiceal cancer to the left ureter. The patient died 5 months postoperatively.
authors.affiliation: Department of Surgery, Kagawa Rosai Hospital, Kagawa, Japan.
authors.forename: Gotaro
authors.initials: G
authors.lastname: Katsuno
authors.forename: Shigeo
authors.initials: S
authors.lastname: Kagawa
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Kokudo
authors.forename: Atsushi
authors.initials: A
authors.lastname: Muraoka
authors.forename: Akihiko
authors.initials: A
authors.lastname: Tatemoto
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Sone
authors.forename: Makoto
authors.initials: M
authors.lastname: Tsumura
authors.forename: Masaki
authors.initials: M
authors.lastname: Tsuruno
authors.forename: Koichi
authors.initials: K
authors.lastname: Mizobuchi
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000556:secondary; D001063:Appendiceal Neoplasms / Q000473:pathology*; D002429:Cecal Diseases / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology / Q000601:surgery; D008113:Liver Neoplasms / Q000556:secondary; D008875:Middle Aged; D014516:Ureteral Neoplasms / Q000556:secondary*