Metastatic Prostate Adenocarcinoma Posing as Urothelial Carcinoma of the Right Ureter: A Case Report and Literature Review
Characteristics of relevant case reports published from January 2000 to November 2013.
Detailed information of each case report
Right loin pain
Histology of right NU GS grade (5 + 5)
Initial: right ureteroscopy Secondary: open exploration and frozen section Third: right NU
Right flank pain and LUTS
Right (ultrasound and intravenous pyelography)
Ureterorenoscopy with biopsy GS grade (3 + 4)
Initial: LHRH-analogues Secondary: ureterorenoscopy with biopsy Third: nephrostomy Fourth: LHRH analogues + zoledronic acid infusions once a month Fifth:LHRH-analogues and antiandrogene
Died in ALF, which was due to liver metastasis with highly progressive disease
Right upper quadrant pain
Enlarged, hard prostate
Histology of right NU GS grade (4 + 3)
Initial: ADT Secondary: NU
Episode of urinary retention
Histology of tumor masses obstructing the ureteric orifices GS grade (4 + 4)
Initial: TURP + bilateral orchidectomy Secondary: insertion of bilateral double J stents (successful at last)
Obstruction relieved and PSA decreased to 0.16 ug/L
Histology of whitish tissue in ureter
Initial: ADT Secondary: urgent right transcutaneous nephrostomy
LUTS and gross hematuria
Right (excretory urography)
Histology of right NU
Initial: bilateral orchidectomy Secondary: TURP + right percutaneous nephrostomy Third: right NU
Three months later, PSA had decreased to 1.3 ng/mL
‘‘Hydronephrosis’’ refers to ‘‘if there exists hydronephrosis? Which side? And which exam revealed?’’. Φ‘‘Ureter metastasis’’ refers to ‘‘which examination indicates distant metastases of prostate adenocarcinoma to the ureter?’’. NU: nephroureterectomy, PSA: prostate specific antigen, DRE: digital rectal examination, Nor: normal, ALF: acute liver failure, LUTS: lower urinary tract symptoms, ADT: androgen deprivation therapy, TURP: transurethral resection of the prostate, CT: computed tomography, GS: Gleason grade, GnRHa: gonadotropin-releasing hormone analogue, and NG: not given.
&Four weeks later, both alkaline phosphatase and bone scan revealed widespread bony metastasis, and GnRHa injection was used.
Only abstract available and only part of information displayed in the table.