A metastatic ureteral tumor successfully treated with multidisciplinary therapy including radiotherapy

IntroductionMetastatic ureteral tumors are difficult to diagnose pathologically. Treatment is only available for the primary disease, and prognosis is generally poor. Case presentationA 63-year-old patient with a history of gastric cancer presented with asymptomatic right-sided hydronephrosis. Urete...

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Bibliographic Details
Published in:IJU case reports 2023, Vol.6 (3), p.173-176
Main Authors: Kawaguchi, Yoshihiro, Naritomi, Kazuya, Kawagoe, Nobutoshi, Matsunaga, Yoshihiro, Ogasawara, Naoyuki, Igawa, Tsukasa
Format: Report
Language:English
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Summary:IntroductionMetastatic ureteral tumors are difficult to diagnose pathologically. Treatment is only available for the primary disease, and prognosis is generally poor. Case presentationA 63-year-old patient with a history of gastric cancer presented with asymptomatic right-sided hydronephrosis. Ureteroscopic examination revealed tissue in the ureter consistent with gastric cancer. The lesion was localized, and the patient was treated with chemotherapy and radiotherapy as part of a multidisciplinary treatment. The prognosis was better than in other reports. To the best of our knowledge, this is the first case of a patient with metastatic gastric cancer who received multidisciplinary treatment including radiotherapy and had a good prognosis. ConclusionIn cases where a localized metastatic ureteral tumor cannot be ruled out, ureteroscopy is an effective therapeutic strategy.
ISSN:2577-171X
DOI:10.1002/iju5.12582