[Isolated ureteral metastasis of prostatic adenocarcinoma. Apropos of a case]

A ureteric tumour was discovered in a patient presenting with an episode of renal colic and a history of prostatectomy for prostatic adenocarcinoma. Segmental ureterectomy was performed. Histological examination showed a metastasis from prostatic adenocarcinoma. This is a rare site of secondaries: less than 40 cases have been reported in the literature, essentially based on autopsy series. Metastatic spread occurs via lymphatics or the blood stream, and the secondary tumour develops from the adventitia before invading the ureteric wall. Although this diagnosis may be suggested by the clinical features and imaging, it can only be confirmed by histology. After ureterectomy, treatment can combine all of the recognized treatment modalities against prostatic adenocarcinoma: endocrine therapy and adjuvant radiotherapy.