Distant Ureteral Metastasis from Colon Adenocarcinoma: Report of a Case and Review of the Literature

Carcinomas arising from organs neighbouring the ureter can directly infiltrate the ureter. Distant ureteral metastasis from colon adenocarcinoma is extremely rare and usually an incidental finding in performed autopsies. We report a case of a right ureteral metastasis in a 65-year-old Caucasian male...

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Main Authors: Ferakis Nikolaos, Anastasopoulos Panagiotis, Bouropoulos Konstantinos, Samaras Vassilios, Poulias Iraklis
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2014/196425
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author Ferakis Nikolaos
Anastasopoulos Panagiotis
Bouropoulos Konstantinos
Samaras Vassilios
Poulias Iraklis
author_facet Ferakis Nikolaos
Anastasopoulos Panagiotis
Bouropoulos Konstantinos
Samaras Vassilios
Poulias Iraklis
author_sort Ferakis Nikolaos
collection DOAJ
description Carcinomas arising from organs neighbouring the ureter can directly infiltrate the ureter. Distant ureteral metastasis from colon adenocarcinoma is extremely rare and usually an incidental finding in performed autopsies. We report a case of a right ureteral metastasis in a 65-year-old Caucasian male with a history of rectal cancer for which he had been treated 4 years before. He presented with asymptomatic moderate right hydronephrosis. The patient underwent a right nephroureterectomy. Histology of the ureter revealed transmural adenocarcinoma with infiltration of the mucosa. Infiltration of the muscular coat of the bladder was found 2 years later. Thus, cystectomy and left ureterocutaneostomy were performed. The patient died 6 months later due to toxic megacolon during chemotherapy. The differential diagnosis of ureteral adenocarcinoma, especially in patients with previous history of colon adenocarcinoma, should include the possibility of distant metastasis from the primary colonic tumor.
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publishDate 2014-01-01
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series Case Reports in Urology
spelling doaj-art-cd234eb7323e4e46be9bf90da2eefc542025-02-03T05:45:39ZengWileyCase Reports in Urology2090-696X2090-69782014-01-01201410.1155/2014/196425196425Distant Ureteral Metastasis from Colon Adenocarcinoma: Report of a Case and Review of the LiteratureFerakis Nikolaos0Anastasopoulos Panagiotis1Bouropoulos Konstantinos2Samaras Vassilios3Poulias Iraklis4Department of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athanasaki 1, 11526 Athens, GreeceDepartment of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athanasaki 1, 11526 Athens, GreeceDepartment of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athanasaki 1, 11526 Athens, GreeceDepartment of Pathology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athanasaki 1, 11526 Athens, GreeceDepartment of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athanasaki 1, 11526 Athens, GreeceCarcinomas arising from organs neighbouring the ureter can directly infiltrate the ureter. Distant ureteral metastasis from colon adenocarcinoma is extremely rare and usually an incidental finding in performed autopsies. We report a case of a right ureteral metastasis in a 65-year-old Caucasian male with a history of rectal cancer for which he had been treated 4 years before. He presented with asymptomatic moderate right hydronephrosis. The patient underwent a right nephroureterectomy. Histology of the ureter revealed transmural adenocarcinoma with infiltration of the mucosa. Infiltration of the muscular coat of the bladder was found 2 years later. Thus, cystectomy and left ureterocutaneostomy were performed. The patient died 6 months later due to toxic megacolon during chemotherapy. The differential diagnosis of ureteral adenocarcinoma, especially in patients with previous history of colon adenocarcinoma, should include the possibility of distant metastasis from the primary colonic tumor.http://dx.doi.org/10.1155/2014/196425
spellingShingle Ferakis Nikolaos
Anastasopoulos Panagiotis
Bouropoulos Konstantinos
Samaras Vassilios
Poulias Iraklis
Distant Ureteral Metastasis from Colon Adenocarcinoma: Report of a Case and Review of the Literature
Case Reports in Urology
title Distant Ureteral Metastasis from Colon Adenocarcinoma: Report of a Case and Review of the Literature
title_full Distant Ureteral Metastasis from Colon Adenocarcinoma: Report of a Case and Review of the Literature
title_fullStr Distant Ureteral Metastasis from Colon Adenocarcinoma: Report of a Case and Review of the Literature
title_full_unstemmed Distant Ureteral Metastasis from Colon Adenocarcinoma: Report of a Case and Review of the Literature
title_short Distant Ureteral Metastasis from Colon Adenocarcinoma: Report of a Case and Review of the Literature
title_sort distant ureteral metastasis from colon adenocarcinoma report of a case and review of the literature
url http://dx.doi.org/10.1155/2014/196425
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AT bouropouloskonstantinos distantureteralmetastasisfromcolonadenocarcinomareportofacaseandreviewoftheliterature
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AT pouliasiraklis distantureteralmetastasisfromcolonadenocarcinomareportofacaseandreviewoftheliterature