Solitary ureteral metastases of renal cell carcinoma.
Metachronous presentation of metastatic renal cell carcinoma (RCC) to the ureter is extremely rare. We report a solitary metachronous metastatic RCC in the contralateral ureter 14 months after right radical nephrectomy for Fuhrman grade 2 pT3a clear cell disease after the patient re-presented with gross hematuria. The proximal left ureteral lesion was excised followed by ileal-ureteral interposition. Pathologic examination confirmed metastatic RCC. To date, only 51 cases of metastatic RCC to the ureter have been reported, with only 6 occurring metachronously in the contralateral ureter. Also, we report the presence of focal extramedullary hematopoiesis occurring within this metastatic lesion.
Zorn
Kevin C
KC
Section of Urology, Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois 60637, USA. kevinzorn@hotmail.com
Orvieto
Marcelo A
MA
Mikhail
Albert A
AA
Lotan
Tamara
T
Gerber
Glenn S
GS
Shalhav
Arieh L
AL
Steinberg
Gary D
GD
D002292:Carcinoma, Renal Cell / Q000556:secondary*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D014516:Ureteral Neoplasms / Q000556:secondary*