title: Metastatic Renal Cell Carcinoma to the Contralateral Ureter: A Rare Phenomenon.
abstract: Metastatic renal cell carcinoma (RCC) to the contralateral ureter is a rare phenomenon. We report a metastatic RCC to the contralateral ureter 5 months after right radical nephrectomy for Fuhrman grade 3/4 clear cell adenocarcinoma with pathologic T3 staging. The distal ureter was excised followed by partial ileal ureteral substitution. Pathology confirmed metastatic clear cell RCC Fuhrman grade 2/4. Ileal ureteral substitution has been shown to provide good long-term functional outcomes and should be considered as a possible option for surgical treatment of ureteral metastasis.
authors.affiliation: University of Washington Medical School, USA.
authors.forename: Ashley
authors.initials: A
authors.lastname: Dixon
authors.affiliation: Department of Pathology, University of Washington, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Tretiakova
authors.affiliation: Department of Urology, University of Washington, USA.
authors.forename: John
authors.initials: J
authors.lastname: Gore
authors.affiliation: Department of Urology, Harborview Medical Center, 325 9th Avenue, Box 359868, Seattle, WA 98101, USA.
authors.forename: Bryan B
authors.initials: BB
authors.lastname: Voelzke
keywords: Metastatectomy; Reconstruction; Renal cell carcinoma; Ureter