Prostate Adenocarcinoma Metastasis to the Bilateral Ureters: a Rare but Potentially Important Finding

The ureter is an extremely rare location for metastasis from prostate carcinoma. Here we present an autopsy case of an 82-year-old gentleman with history of prostate carcinoma who exhibited bilateral urinary tract obstruction secondary to metastatic prostate carcinoma. Our extensive literature search revealed only 44 cases of prostate carcinoma with ureteral metastasis worldwide that had been reported in the last century. Though it is an unusual pattern, ureteral metastasis should always be considered for a patient with urinary obstruction in the setting of prostate adenocarcinoma.