Metastatic melanoma to the proximal ureter
Matthew DeSanto1, Robert Strait1, Jared Zopp1
1Charleston Area Medical Center, Charleston, West Virgina, USA.
Urology Case Reports
|September 4, 2023
Summary
A rare case of obstructive uropathy caused by a ureteral mass was observed. Metastatic melanoma from the heel was found to obstruct the ureter, presenting a unique treatment challenge.
Area of Science:
- Urology
- Oncology
- Nephrology
Background:
- Obstructive uropathy is a condition where the normal flow of urine is blocked.
- Ureteral masses are uncommon causes of urinary tract obstruction.
Observation:
- A 68-year-old female presented with metastatic stage IIID melanoma originating from the right heel.
- Imaging revealed a 2 cm right proximal ureteral mass causing significant hydronephrosis.
Findings:
- Ureteroscopic biopsy confirmed the ureteral mass to be metastatic melanoma.
- This represents an unusual presentation of melanoma metastasis.
Implications:
- This case highlights the importance of considering metastatic disease in the differential diagnosis of ureteral masses.
- The unique presentation poses a treatment dilemma, requiring a multidisciplinary approach.
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