title: Obstructive uropathy secondary to parametrial metastasis: an unusual presentation of breast carcinoma.
abstract: BACKGROUND
  Metastasis to the cervix and parametrium from breast carcinoma is a rare occurrence.
  
  
  METHODS
  A 74-year-old woman presented to the urologists with loin pain and microscopic haematuria. Investigations revealed a right ureteric obstruction which was diagnosed to be secondary to parametrial metastasis from an unknown primary. Immunohistochemical studies revealed it to be originating from the breast. Occult breast carcinoma was then diagnosed by breast biopsy.
  
  
  CONCLUSIONS
  Obstructive uropathy secondary to parametrial metastasis is an unusual first presentation of breast carcinoma.
authors.affiliation: Department of Obstetrics and Gynaecology, Barking Havering and Redbridge NHS Trust, Romford, UK. roopa_n_mb@yahoo.com
authors.forename: R R
authors.initials: RR
authors.lastname: Nair
authors.forename: M D
authors.initials: MD
authors.lastname: Conroy
authors.forename: A R
authors.initials: AR
authors.lastname: Jeyarajah
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis / Q000473:pathology*; D018275:Carcinoma, Lobular / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D005260:Female; D006801:Humans; D014517:Ureteral Obstruction / Q000209:etiology*; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000556:secondary*