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Breast cancer presenting as renal colic
American Journal of Surgery
|June 1, 1978
Summary
This case highlights breast cancer metastasis causing ureteral obstruction and renal colic. Systemic treatment, particularly hormonal therapy for estrogen receptor-positive tumors, is key, with local interventions reserved for critical renal function impairment.
Area of Science:
- Oncology
- Urology
Background:
- Breast cancer commonly metastasizes, but ureteral obstruction is an uncommon presentation.
- Autopsy studies reveal frequent ureteral metastases, suggesting underdiagnosis during patient's lifetime.
Observation:
- A unique case of breast cancer presenting with renal colic due to ureteral obstruction is described.
- This presentation is rare antemortem but common in post-mortem examinations.
Findings:
- Ureteral metastases from breast cancer can mimic primary renal colic.
- Systemic therapy is the primary approach for disseminated breast cancer with ureteral involvement.
- Hormonal therapy is effective for estrogen receptor-positive tumors.
Implications:
- Improved management of disseminated breast cancer may increase recognition of ureteral obstruction.
- Interventions like ureteral catheterization or diversion should be adjuncts to systemic therapy, especially when renal function is compromised.