[Primary adenocarcinoma of a ureteral remnant stump after nephrectomy].
OBJECTIVE
Adenocarcinomas of the upper urinary tract are very rare malignancies often related to primary genitourinary and extraurinary tumours. Primary adenocarcinomas are even rarer. There are no clinical guidelines for the management of primary ureteral adenocarcinoma. Our objective is to propose a management algoritm of this sort of tumours.


METHODS
We report a case of adenocarcinoma affecting a ureteral stump in a patient who previously underwent a nephrectomy. A review of literature is performed.


RESULTS
After the ureterectomy the pathologist diagnosed a ureteral adenocarcinoma. We performed an extension study in order to discard an extraurinary origin.


CONCLUSIONS
Adenocarcinoma of the ureteral stump is a very rare malignancy. About the clinic and pathologic characterization, there is no an established reference due to the short number of previous reports. Clinical presentation may include previous nephrectomy, flank pain, dysuria, urgency and/or gross hematuria. It seem necessary the complete resection of the urinary tract when a nephrectomy is performed. Adjuvant chemotherapy can be employed with uncertain results.
Romeu
Juan P Caballero
JP
Servicio de Urología, Hospital General Universitario de Alicante, España. juanpablocaballero@gmail.com
Llopis
Juan A Galán
JA
Baena
Juan F Galiano
JF
Abuomar
Adel
A
Auladell
Antonio M Pelluch
AM
Encinas
Juan J Lobato
JJ
D000230:Adenocarcinoma / Q000209:etiology*; D003663:Decision Trees; D006801:Humans; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D014516:Ureteral Neoplasms / Q000209:etiology*