Rare presentation of discrete ureteral metastasis from prostate adenocarcinoma

Publication date: Available online 4 November 2016 Source:Formosan Journal of Surgery Author(s): Che-Yuan Kuo, Shian-Shiang Wang, Chen-Hui Lee, Yen-Chuan Ou Ureteral metastasis from prostate cancer is rare. Here, we report a case of ureteral metastasis from prostate cancer in a 65-year-old man who presented with lower urinary tract symptoms. The initial prostate-specific antigen level was 372 ng/mL, and the Gleason score was 9 (4+5). Abdominal computed tomography revealed right hydronephroureter and bony metastasis but no obvious lymphadenopathy. The patient underwent bilateral orchiectomy. After 6 months, the metastasized lesion in the middle ureter was completely resolved, as determined through ureteroscopy. After hormone therapy, the prostate-specific antigen level decreased to <0.5 ng/mL. Discrete ureteral metastasis should be considered in advanced prostate cancer patients with obstructive uropathy.
Source: Formosan Journal of Surgery - Category: Surgery Source Type: research