Abstract
We reported a case of ureteric tumor, an uncommon disease presenting with colonic obstruction. This 52-year-old lady presented with history of colicky pain left lower abdomen for 5 months. Colonoscopy revealed circumferential nonnegotiable stricture at 25 cm from anal verge, and colonoscopic biopsy was inconclusive. Contrast-enhanced computed tomography (CECT) showed a growth involving sigmoid colon and left ureter with proximal left hydroureteronephrosis with nonfunctioning left kidney. Guided fine needle aspiration cytology (FNAC) showed features of an adenocarcinoma. The patient was operated with a diagnosis of carcinoma colon and underwent low anterior resection with left nephroureterectomy. Histopathology of resected specimen revealed ureteric transitional cell carcinoma with colon infiltration. She had smooth postoperative recovery.
Similar content being viewed by others
References
Melamed MR, Reuter VE (1993) Pathology and staging of urothelial tumors of the kidney and ureter. Urol Clin North Am 20:333–347
Davis BW, Hough AJ, Gardner WA (1987) Renal pelvic carcinoma: morphological correlates of metastatic behavior. J Urol 137:857
Shinagare AB, Fennessy FM, Ramaiya NH et al (2011) Urothelial cancers of the upper urinary tract: metastatic pattern and its correlation with tumor histopathology and location. J Comput Assist Tomogr 35:217–222
Joniau S, Cleynenbreugel BV, Blyweert W et al (2010) Is radical nephroureterectomy and lymph node dissection necessary for upper-tract TCC? Eur Urol 9:442–445
Stewart GD, Bariol SV, Grigor KM et al (2005) A comparison of the pathology of transitional cell carcinoma of the bladder and upper urinary tract. BJU Int 95:791–793
Babaian RJ, Johnson DE (1980) Primary carcinoma of the ureter. J Urol 123:357–359
Lehmann J, Suttmann H, Kovac I et al (2007) Transitional cell carcinoma of the ureter: prognostic factors influencing progression and survival. Eur Urol 51:1281–1288
Richie JP, Withers G, Ehrlich RM (1979) Ureteral obstruction secondary to metastatic tumors. Surg Gynecol Obstet 148:355–357
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Singh, H., Yadav, T.D., Kumar, S. et al. Transitional Cell Carcinoma of Ureter Simulating Left Colonic Malignancy—A Rare Case. Indian J Surg 77 (Suppl 1), 29–31 (2015). https://doi.org/10.1007/s12262-014-1076-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-014-1076-8