Metastasis of gastric carcinoma simulating a urothelial tumor. Case report and review of the literature.
OBJECTIVE
To review two cases with the diagnostic suspicion of urinary tract tumor by clinical picture and imaging tests in which pathology of the surgical specimen revealed metastasis of gastric adenocarcinoma.


METHODS
82 and 68 year-old patients with past history of gastric adenocarcinoma that had undergone surgical treatment 6 months and 6 years before urology consultation,respectively. They were diagnosed upper urinary tract tumors by CT scan.


RESULTS
Definitive pathologic diagnosis of urinary tract metastasis of gastric adenocarcinoma was obtained after radical surgery in both cases.


CONCLUSIONS
Clinical and radiologic presentation of urothelial metastases of gastric adenocarcinoma may simulate de novo urothelial tumors. Evolution in these patients is usually bad although we currently don't have enough information to issue a therapeutic guide to follow.
Servicio Urologia.Hospital Clinic.Barcelona.Spain.
A
A
Vilaseca Cabo
Mireia
M
Musquera Felip
Maria Jose
MJ
Ribal Caparros
Antonio
A
Alcaraz Asensio
D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D000369:Aged, 80 and over; D017809:Fatal Outcome; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D008297:Male; D009392:Nephrectomy; D013274:Stomach Neoplasms / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000601:surgery; D014571:Urologic Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D013520:Urologic Surgical Procedures; D019459:Urothelium / Q000473:pathology*