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Ureteral Metastasis Secondary to Prostate Cancer: A Case Report
I Morales1, C Bassa2, A Pavlovic3
1Department of Surgery, Universidad de los Andes, Santiago, Región Metropolitana, Chile.
Urology Case Reports
|January 22, 2016
Summary
Secondary ureteral metastasis from prostate cancer are rare. This case highlights a rare presentation of prostate cancer causing flank pain and hydroureteronephrosis, emphasizing the need for high suspicion.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Prostate cancer is a common malignancy.
- Ureteral metastases are an exceptionally rare complication of prostate cancer.
Observation:
- A 55-year-old man presented with right flank pain and lower urinary tract symptoms.
- Imaging revealed right hydroureteronephrosis, urinoma, and iliac adenopathy.
- Elevated prostate-specific antigen (PSA) levels were noted.
Findings:
- Pathology confirmed prostatic carcinoma infiltrating the ureteral muscularis propria.
- The metastasis did not involve the ureteral mucosa.
- This represents one of 46 reported cases of ureteral metastasis from prostate cancer.
Implications:
- Ureteral metastasis should be considered in the differential diagnosis of renal colic in patients with prostate cancer.
- A high index of suspicion is crucial for early diagnosis and management.
- This rare presentation underscores the diverse metastatic potential of prostate cancer.
Keywords:
HydronephrosisPSA, Prostatic specific antigenPSAP, Prostate specific acid phosphataseProstate cancerUreteral metastasisUreteral obstruction
