Gastric Cancer

, Volume 3, Issue 2, pp 102–105

Gastric cancer recognized by metastasis to the ureter

  • Yutaka Shimoyama
  • Masakazu Ohashi
  • Naoko Hashiguchi
  • Masami Ishihara
  • Michio Sakata
  • Akihiko Tamura
  • Yutaka Asato
  • Kenichi Saitoh
  • Miwako Mukai
Case report

DOI: 10.1007/PL00011693

Cite this article as:
Shimoyama, Y., Ohashi, M., Hashiguchi, N. et al. Gastric Cancer (2000) 3: 102. doi:10.1007/PL00011693

Abstract

Although ureteral obstruction is rarely noted in patients with gastric cancer at an advanced stage or at autopsy, the condition caused by authentic ureteral metastasis of gastric cancer is extremely rare. We experienced a case of gastric cancer in a 51-year-old woman who showed bilateral ureteral metastasis. The patient initially complained of right flank pain, caused by right ureteral obstruction, and was referred to our hospital, where she underwent a right nephroureterectomy, with suspicion of primary ureteral neoplasm. Histopathological examination of the resected specimen showed that metastatic growth of adenocarcinoma in the ureteral wall had caused the obstruction, and the subsequent extensive search for the primary lesion revealed asymptomatic gastric cancer. Soon after the nephroureterectomy, the patient developed left hydronephrosis, possibly caused by left ureteral metastasis, and a left percutaneous nephrostomy was performed. She then received chemotherapeutic reagents. However, she finally developed peritoneal carcinomatosis, and died of the disease about 1 year after the onset of the disease. In this report, we also review true ureteral metastasis from the stomach, and discuss the clinicopathologic features.

Key words Gastric cancerUreteral metastasisHydronephrosisHydroureter
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Copyright information

© International and Japanese Gastric Cancer Associations 2000

Authors and Affiliations

  • Yutaka Shimoyama
    • 1
  • Masakazu Ohashi
    • 2
  • Naoko Hashiguchi
    • 1
  • Masami Ishihara
    • 1
  • Michio Sakata
    • 1
  • Akihiko Tamura
    • 1
  • Yutaka Asato
    • 1
  • Kenichi Saitoh
    • 2
  • Miwako Mukai
    • 3
  1. 1.Department of Surgery, National Okura Hospital, 2-10-1 Okura, Setagaya-ku, Tokyo 157-8535, JapanJP
  2. 2.Department of Urology, National Okura Hospital, Tokyo, JapanJP
  3. 3.Department of Pathology, National Okura Hospital, Tokyo, JapanJP