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Case Reports in Urology
Volume 2016 (2016), Article ID 1853015, 4 pages
http://dx.doi.org/10.1155/2016/1853015
Case Report

A Case of Metastatic Melanoma in the Ureter

Department of Urology, Westmead Hospital, Westmead, NSW, Australia

Received 27 July 2016; Revised 22 September 2016; Accepted 25 September 2016

Academic Editor: Francesco M. Solivetti

Copyright © 2016 James Macneil and Tania Hossack. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Advances in the treatment of melanoma are resulting in patients living for extended periods after being diagnosed with metastatic disease. Metastases to the ureter are rare, but they have been described in the literature on a number of occasions. In this case report, we describe a patient with established metastatic melanoma who, whilst taking and responding to immunomodulatory therapy, was found to have an obstructive mass in the middle of his left ureter. Rather than performing either a nephroureterectomy or partial resection of the ureter, we opted to perform an endoscopic resection of the melanoma. Follow-up imaging at 12 months shows no evidence of local disease recurrence. We submit that primary endoscopic management of metastatic melanoma in the ureter is a viable alternative to a radical approach.