Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Aug 11;17(1):357.
doi: 10.1186/s13256-023-04065-y.

Metachronous ureteral metastasis of a gastric adenocarcinoma: a case report and review of literature

Meriem Ait Alla  1 , Tarik Chekrine  2 , Zineb Bouchbika  2 , Nadia Benchakroun  2 , Hassan Jouhadi  2 , Nezha Tawfiq  2 , Houda Chaouki  3 , Farida Marnissi  3 , Mehdi Karkouri  3 , Souha Sahraoui  2
Affiliations
Review

Metachronous ureteral metastasis of a gastric adenocarcinoma: a case report and review of literature

Meriem Ait Alla et al. J Med Case Rep. .

Abstract

Background: Ureteral metastasis from gastric cancers are rare and can be a cause of ureteral obstruction. There have been few published case reports in the literature. In this paper, we report an additional case and a review of the literature of all the previous reported cases.

Case presentation: A 67 years old North African women who was treated four years before for a gastric adenocarcinoma, presented with abdominal pain. Imaging and endoscopy showed a mural stenosis of the left ureter, without any other abnormality. Histopathology confirmed the gastric origin of the metastasis. A palliative chemotherapy was foreseen, but due to the deterioration of the general condition of the patient, she received palliative care. We have also reviewed the literature and reported the previously published cases of ureteral metastasis from gastric cancer.

Conclusions: It is worth recalling that in a context of neoplasia and with the presence of signs of ureteral obstruction, it is important to keep in mind the possibility of a ureteral metastasis.

Keywords: Adenocarcinoma; Case report; Gastric cancer; Metastasis; Ureter.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interest regarding the publication of this paper.

Figures

Fig. 1
Fig. 1
A, B Axial CT scan showing the state of the solitary left kidney with the double J stent in place
Fig. 2
Fig. 2
Pathological findings of the tumor. A infiltration of the ureteral wall by an undifferentiated proliferation (x100 magnification). B Positive staining for CK7 (x200 magnification). C Negative staining for GATA3 (x4 magnification)
See this image and copyright information in PMC

References

    1. Stow BIX. Fibrolymphosarcomata of both ureters metastatic to a primary lymphosarcomata of the anterior mediastinum of thymus origin. Ann Surg. 1909;50(5):901–906. doi: 10.1097/00000658-190911000-00009. - DOI - PMC - PubMed
    1. Presman D, Ehrlich L. Metastatic tumors of the ureter. J Urol. 1948;59(3):312–325. doi: 10.1016/S0022-5347(17)69379-0. - DOI - PubMed
    1. Schlagintweit F. Metastatische Karzinose der Ureteren mit Anurie bei gleichzeitiger Nephritis. Z Urol. 1911;5:665–671.
    1. Richie JP, Withers G, Ehrlich RM. Ureteral obstruction secondary to metastatic tumors. Surg Gynecol Obstet. 1979;148(3):355–357. - PubMed
    1. Mackenzie DW, Ratner M. Metastatic growths in the ureter: a report of three cases and a brief review of the literature. Can Med Assoc J. 1931;25(3):265–270. - PMC - PubMed