Contralateral ureteral metastasis 4 years after radical nephrectomy

Zhang, Haojie; Sheng, Lu; Zhang, Zhen-wang; Sun, Zhongquan; Qian, Weiqing; Song, Jian-da

doi:10.1016/j.ijscr.2011.10.012

Cited by 7 publications

(4 citation statements)

References 6 publications

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“…Another study also showed that there was no substantial difference in cell type and structural composition between primary and metastatic renal carcinomas. 25 Contralateral metastasis frequently occurs in ccRCC, 4,25 which is consistent with our case. Whether there is a tendency for contralateral metastasis in ccRCC still needs to be determined in larger future studies.…”

Section: Discussionsupporting

confidence: 91%

Metachronous metastasis to contralateral retroperitoneal adipose tissue after radical nephrectomy: a case report and review of the literature

Wang

et al. 2018

J Int Med Res

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Renal cell carcinoma (RCC) metastasis to the adrenal gland, perirenal adipose tissue, and ureter on the contralateral side is rare. We report a case of solitary metachronous clear cell renal cell carcinoma (ccRCC) metastasis to the contralateral retroperitoneal adipose tissue, which was identified after radical nephrectomy. A patient had undergone retroperitoneal laparoscopic radical nephrectomy for RCC in the right kidney in December 2012. Postoperative pathological analysis showed Fuhrman grade I ccRCC, T1bN0M0. Three years after surgery, a solitary tumor of 1.0 × 1.0 cm was identified by an abdominal computed tomographic scan inside the retroperitoneal fat pad in front of the left posterior abdominal wall, without adhesion to the abdominal wall. The tumor was then completely resected by retroperitoneal laparoscopic resection. Pathological analysis showed that it was a metastasized lesion from a previous tumor. Nine months after surgery, there was no sign of recurrence confirmed by radiographic follow-up. Findings from this case indicate the unpredictability of dissemination of RCC. Our findings support a follow-up regimen that includes regular postoperative computed tomographic scans to identify early metastasis. To the best of our knowledge, this is the first reported case of contralateral retroperitoneal adipose metastasis after laparoscopic tumorectomy.

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Section: Discussionsupporting

confidence: 91%

Metachronous metastasis to contralateral retroperitoneal adipose tissue after radical nephrectomy: a case report and review of the literature

Wang

et al. 2018

J Int Med Res

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“…Currently, there have been 51 reported cases of metastatic RCC to the ureter; with only 9 reported cases to the contralateral ureter 5 , 6 that we are aware of. Reconstructive options for metachronous metastasis to the contralateral ureter should be determined based on the length of the defect, bladder capacity, and location of the defect.…”

Section: Discussionmentioning

confidence: 99%

Metastatic Renal Cell Carcinoma to the Contralateral Ureter: A Rare Phenomenon

Dixon

Tretiakova

Gore

et al. 2016

Urology Case Reports

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Metastatic renal cell carcinoma (RCC) to the contralateral ureter is a rare phenomenon. We report a metastatic RCC to the contralateral ureter 5 months after right radical nephrectomy for Fuhrman grade 3/4 clear cell adenocarcinoma with pathologic T3 staging. The distal ureter was excised followed by partial ileal ureteral substitution. Pathology confirmed metastatic clear cell RCC Fuhrman grade 2/4. Ileal ureteral substitution has been shown to provide good long-term functional outcomes and should be considered as a possible option for surgical treatment of ureteral metastasis.

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“…Therefore, we were able to perform a partial ureterectomy and end-to-end anastomosis with good functional outcomes. Other surgical techniques such as ileal ureteral substitution or Boary-plasty could be considered depending on the localization and size of the lesion and bladder capacity [ 5 , 6 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Clear cell renal cancer metastasis in the contralateral ureter: a case report

Blanc

Roth

2021

J Med Case Reports

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Background Clear cell renal carcinoma is known for its propensity for metastatic spread. Common sites of metastasis are the lungs, bones, lymph nodes, liver, adrenals and brain, but all organs can be affected. Contralateral ureteral metastasis is a rare phenomenon, and only a few cases have been reported in the literature. Case presentation We present the case of a 58-year-old Caucasian patient with a single contralateral ureteral metastasis of a clear cell renal carcinoma. Conclusion Ureteral metastasis of clear cell renal carcinoma is very rare, and there is no well-established treatment. For patients with low metastatic spread/volume, the aim should be to preserve kidney function, and thus metastasectomy should be considered.

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Contralateral ureteral metastasis 4 years after radical nephrectomy

Cited by 7 publications

References 6 publications

Metachronous metastasis to contralateral retroperitoneal adipose tissue after radical nephrectomy: a case report and review of the literature

Metachronous metastasis to contralateral retroperitoneal adipose tissue after radical nephrectomy: a case report and review of the literature

Metastatic Renal Cell Carcinoma to the Contralateral Ureter: A Rare Phenomenon

Clear cell renal cancer metastasis in the contralateral ureter: a case report

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