Cervical cancer metastatic to the upper part of the ureter: a rare case

Background: Carcinoma metastatic to the upper urinary tract is rare, but cervical cancer metastatic of the upper part of the ureter is extremely rare. Case: A 63-year-old woman presented with cervical cancer Stage IVB (T3bN1M1). After diagnosis, the patient received chemotherapy combining cisplatin and paclitaxel. Six months after six cycles of chemotherapy, nephrectomy was performed due to hydronephrosis with tight stricture in the upper part of the ureter, and pathological examination revealed carcinoma metastatic to the ureter from cervical cancer. Conclusion: In case of hydronephrosis with tight stricture in the ureter with the cervical cancer patient, metastasis to the ureter should be considered.

Cervical cancer; Metastasis to the ureter

[1] Fan G., Xie Y., Pei X., Lei J., Ye M., Zeng G., et al.: “Renal metastasis from cervical carcinoma presenting as a renal cyst: A case report”. Oncol. Letters, 2015, 10, 2761-2764.

[2] Jeon S.W., Kim S.H., Kwon S.Y.: “Renal metastasis from primary cervical cancer: A case report”. J. Korean Soc. Radiol., 2013, 68, 483.

[3] Soto V.J., Flores O.J., Gutierrez S.J.A., Flores G.J.: “Nephritic colic caused by periuteric fibrosis resulting from metastasis from lobular carcinoma of the breast”. Arch. Esp. Ulol., 2001, 54, 180.

[4] Richie J.P., Withers G., Ehrlich R.M.: “Ureteral obstruction secondary to metastatic tumors”. Surg. Gynecol. Obstet., 1979, 148, 355.

[5] Richie J.P., Kantoff P.W.: “Secondary tumors of the ureter”. Holland-Frei Cancer Medicine, 6th ed., 2003.

[6] Stow B.: “Fibrolymphsarcomata of both ureters, metastatic to a primary lymphsarcoma of the anterior mediastinum of the thymus origin”. Ann. Surg., 1909, 50, 901.

[7] Presman D., Ehrlich L.: “Metastatic tumors of the ureter”. J. Urol., 1948, 59, 312.

[8] Cohen W.M., Freed S.Z., Hassan J.: “Metastatic cancer of the ureter. A review of the literature and case presentations”. J. Urol., 1974, 112, 188.