Squamous cell carcinoma in a duplex ureter: a case report

We report a case of ureteric squamous cell carcinoma (SCC) arising in a partial duplex left collecting system. An 88-year-old male presented with a flank pain and intermittent haematuria to a metropolitan emergency department. CT showed findings suspicious for obstructing malignancy, which was confirmed on biopsy to be progressive well-differentiated ureteral SCC. Widespread metastases to the cervical, mediastinal and para-aortic lymph nodes, lungs, and the L5 vertebral body were detected on follow-up imaging. The patient passed within the following two months. A high degree of caution should be exercised in patients who have anatomical variants or chronic underlying risk factors.