Skip to main content

Advertisement

SpringerLink
Log in

Ureteric Metastasis of Pancreatic Carcinoma: a Case Report

  • Surgery
  • Published:
SN Comprehensive Clinical Medicine Aims and scope Submit manuscript

Abstract

A case of ureteric metastasis of pancreatic carcinoma is discussed. Metastatic disease of the ureter is very rare and only 9 other cases of pancreatic carcinoma metastasizing to the ureter have been published. A lack of continuous longitudinal blood and lymphatic vasculature is a possible explanation for the low incidence. Diagnosis of ureteric metastasis can be difficult and a combination of radiographic imaging and histologic evaluation is often required. Treatment of ureteric metastasis depends on the primary tumor. Metastasectomy can be considered in a select number of patients. When urinary obstruction is caused by the ureteric mass, urine drainage can be considered.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Stow B. IX. Fibrolymphosarcomata of both ureters metastatic to a primary lymphosarcomata of the anterior mediastinum of thymus origin. Ann Surg. 1909;50(5):901–6. https://doi.org/10.1097/00000658-190911000-00009.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Hu J, Deng J, Guo J, Fu B. Ureteral involvement by metastatic malignant disease. Clin Exp Metastasis. 2019;36:499–509. https://doi.org/10.1007/s10585-019-09989-8.

    Article  CAS  PubMed  Google Scholar 

  3. Maclean JT, Fowler VB. Pathology of tumors of the renal pelvis and ureter. J Urol. 1956;75(3):384–415.

    Article  CAS  Google Scholar 

  4. Cohen WM, Freed SZ, Hasson J. Metastatic cancer to the ureter: a review of the literature and case presentations. J Urol. 1974;112(2):188–9. https://doi.org/10.1016/s0022-5347(17)59679-2.

    Article  CAS  PubMed  Google Scholar 

  5. Marincek B, Scheidegger JR, Studer UE, Kraft R. Metastatic disease of the ureter: patterns of tumoral spread and radiologic findings. Abdom Imaging. 1993;18(1):88–94. https://doi.org/10.1007/bf00201710.

    Article  CAS  PubMed  Google Scholar 

  6. Mackenzie DW, Ratner M. Metastatic growth in the ureter: a report of three cases and a brief review of the literature. Can Med Assoc J. 1931;25(3):265–70.

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Fitch WP, Robinson JR, Radwin HW. Metastatic carcinoma of the ureter. Arch Surg (Chicago, Ill : 1960). 1976;111(8):874–6. https://doi.org/10.1001/archsurg.1976.01360260042010.

    Article  CAS  Google Scholar 

  8. Pascoe C, Manning TG, Wetherell D, Lawrentschuk N (2018) Ureteral intramural metastatic deposit of prostate cancer with ureteric obstruction. BMJ Case Reports. bcr2017222480. https://doi.org/10.1136/bcr-2017-222480

  9. Arvind NK, Singh O, Gupta S, Ali Q. Ureteral metastasis as the presenting manifestation of pancreatic carcinoma. Rev Urol. 2013;15(3):124–30.

    PubMed  PubMed Central  Google Scholar 

  10. Karaosmanoglu AD, Onur MR, Karcaaltincaba M, Akata D, Ozmen MN. Secondary tumors of the urinary system: an imaging conundrum. Korean J Radiol. 2018;19(4):742–51. https://doi.org/10.3348/kjr.2018.19.4.742.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Bechtold RB, Chen MY, Dyer RB, Zagoria RJ. CT of the ureteral wall. AJR Am J Roentgenol. 1998;170(5):1283–9. https://doi.org/10.2214/ajr.170.5.9574602.

    Article  CAS  PubMed  Google Scholar 

  12. Monsky WL, Molloy C, Jin B, Nolan T, Fernando D, Loh S, et al. Quality-of-life assessment after palliative interventions to manage malignant ureteral obstruction. Cardiovasc Interv Radiol. 2013;36(5):1355–63. https://doi.org/10.1007/s00270-013-0571-9.

    Article  Google Scholar 

Download references

Data and materials availability

Not applicable

Code availability

Not applicable

Author information

Authors and Affiliations

  1. Department of Urology, Haga Teaching Hospital, The Hague, the Netherlands

    J. G. Verhoeven, S. Weltings & H. Roshani

  2. Department of Radiology, Haga Teaching Hospital, The Hague, the Netherlands

    R. B. van Loenhout

  3. Department of Pathology, Haga Teaching Hospital, The Hague, the Netherlands

    J. S. van der Laan

Authors
  1. J. G. Verhoeven
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Weltings
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. B. van Loenhout
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. S. van der Laan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. H. Roshani
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

J. V. and H. R. conceived the idea for this report. J. V. wrote the first draft of the manuscript. All authors commented on the draft. All authors read and approved the final manuscript.

Corresponding author

Correspondence to J. G. Verhoeven.

Ethics declarations

Ethics approval

Not applicable

Consent to participate

Not applicable

Consent for publication

Personal details have been removed from this case description. Family provided informed consent for publication.

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Surgery

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Verhoeven, J.G., Weltings, S., van Loenhout, R.B. et al. Ureteric Metastasis of Pancreatic Carcinoma: a Case Report. SN Compr. Clin. Med. 3, 1930–1934 (2021). https://doi.org/10.1007/s42399-021-00815-5

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s42399-021-00815-5

Keywords

Search

Navigation