A rare case of metastatic ureteric malignancy from endometriosis. (May 2017)

• Record Type: Journal Article
• Authors: Sarkar, Debashis; Cliff, Andrew; Maurice, Yasmine
• Is Part Of: Journal of clinical urology. Volume 10:Number 3(2017)
• Page Start: 205
• Page End: 207
• Publication Date: 2017-05
• Subjects: Urology -- ureteric malignancy -- laparoscopic surgery -- endometriosis -- urological surgery; Genitourinary organs -- Surgery -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urology -- Periodicals; 616.6005
• DOI: 10.1177/2051415814567707
• Languages: English
• ISSNs: 2051-4158

Abstract

A 61-year-old woman presented with left loin pain and was found to have a long standing left-sided hydronephrosis. CT IVU showed a 2.5 cm soft tissue in the region of the distal left ureter with marked proximal dilatation (Figures 1–3). Her urine cytology, flexible cystoscopy and renal function were normal. She underwent a left laparoscopic nephroureterectomy; histology revealed periureteric metastatic adenocarcinoma with clear margin. On immunohistochemistry, oestrogen receptor, CK7, BerEp4, and CEA were strongly expressed (Figures 4 and 5). She had a history of hysterectomy 20 years earlier for ovarian and fallopian tube endometriosis. It was found that adenocarcinoma had arisen within a focus of periureteric endometriosis persisting as hydronephrosis.