title: Ureteral metastasis as the first and sole manifestation of gastric cancer dissemination.
abstract: BACKGROUND
  Isolated ureteral metastasis from gastric cancer is extremely rare.
  
  
  METHODS
  We describe a 50 year old man with a history of subtotal gastrectomy who presented 4 years later with an ureteral metastasis. He was asymptomatic and diagnostic tests were performed due to the elevated creatinine level disclosed incidentally. The partial resection of distal right ureter as well as the resection of the right ureterovesical junction was performed with the implantation of double J stent. Histopathology revealed a metastasis of the adenocarcinoma that matched perfectly a tumour specimen from the gastric cancer surgery. It was first and isolated manifestation of gastric cancer dissemination.
  
  
  CONCLUSIONS
  Although rare, the ureteral metastasis from gastric cancer can be the first, sole and asymptomatic manifestation of gastric cancer dissemination after a period of time.
authors.affiliation: Department of Oncology, Clinical Hospital Centre Zagreb, Zagreb, Croatia.
authors.forename: Vesna
authors.initials: V
authors.lastname: Bisof
authors.forename: Antonio
authors.initials: A
authors.lastname: Juretic
authors.forename: Josip
authors.initials: J
authors.lastname: Pasini
authors.forename: Marijana
authors.initials: M
authors.lastname: Coric
authors.forename: Mislav
authors.initials: M
authors.lastname: Grgic
authors.forename: Marija
authors.initials: M
authors.lastname: Gamulin
authors.forename: Zoran
authors.initials: Z
authors.lastname: Rakusic
authors.forename: Zdenko
authors.initials: Z
authors.lastname: Krajina
authors.forename: Martina
authors.initials: M
authors.lastname: Basic-Koretic
authors.forename: Ana
authors.initials: A
authors.lastname: Misir
authors.forename: Ranka
authors.initials: R
authors.lastname: Stern-Padovan